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General NPI Number Information
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NPI Number | 1881998474
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Entity Type | Organization
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Legal Business Name | BELAYA MEDICAL, PLLC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 5014 TRANSIT ROAD
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City | CHEEKTOWAGA
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State | NY
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Zip | 14043
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Country | US
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Telephone | 716-684-2273
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Fax | 716-684-2274
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Provider Business Mailing Address
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Address Line | 1 JOHN JAMES AUDUBON PKWY
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City | AMHERST
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State | NY
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Zip | 14228-1143
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Country | US
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Telephone | 716-204-4500
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Fax | 716-204-4501
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Authorized Official
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Title or Position | CEO
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Name | GREGORY F DANIEL
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Credential | MD
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Telephone | 716-204-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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