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NPI Code Detail

MEDICARE: CASSIDY FINN

MEDICARE: CASSIDY FINN
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
1207Q00000XFamily Medicine Physician311343NY

General Provider Information

NPI Number : 1700383403
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY FINN
Provider Business Mailing Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number : 716-862-1840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2018
Last Update Date : 05/19/2022

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Directions to “ CASSIDY FINN ” Practice Location

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