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General NPI Number Information
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NPI Number | 1275692428
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Entity Type | Organization
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Legal Business Name | ERIE,NIAGARA TONAWANDA MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 531 FARBER LAKES DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5773
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Country | US
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Telephone | 716-634-6224
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Fax | 716-634-3816
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Provider Business Mailing Address
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Address Line | 531 FARBER LAKES DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5773
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Country | US
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Telephone | 716-634-6224
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Fax | 716-634-3816
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Authorized Official
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Title or Position | MEDICAL PHYSICIAN
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Name | SAYEED NABI
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Credential | M.D.
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Telephone | 716-634-6224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 126606
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License Number State | NY
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