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NPI Code Detail

MEDICARE: CONSTANCE TOWER RN

MEDICARE: CONSTANCE TOWER RN
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
1163W00000XRegistered Nurse267554NY

General Provider Information

NPI Number : 1467693523
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSTANCE TOWER RN
Provider Business Mailing Address
First Line : 1499 WEHRLE DR
Second Line : APT.2
City : WILLIAMSVILLE
State : NY
Zip : 14221-6971
Country : US
Telephone Number : 716-512-9243
Fax Number :
Provider Business Practice Location Address
First Line : 2049 GEORGE URBAN BLVD
Second Line :
City : DEPEW
State : NY
Zip : 14043-1823
Country : US
Telephone Number : 716-901-8700
Fax Number : 716-901-8800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2009
Last Update Date : 04/22/2015

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