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NPI Code Detail

MEDICARE: KRISTY M PASKO

MEDICARE: KRISTY M PASKO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1447506951
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY M PASKO
Provider Business Mailing Address
First Line : 715 DELAWARE AVE
Second Line : APT 605
City : BUFFALO
State : NY
Zip : 14209-2212
Country : US
Telephone Number : 716-912-3387
Fax Number :
Provider Business Practice Location Address
First Line : 5205 OAKWOOD DR
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-9618
Country : US
Telephone Number : 716-625-4002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 08/02/2012

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Directions to “ KRISTY M PASKO ” Practice Location

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