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EASTERN NIAGARA MEDICAL GROUP

Organization (NPI-2) Active

Family Medicine

Provider Information

NPI Number
1346796398
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
53 ELIZABETH DR, LOCKPORT, NY, 140945226
Phone
(716) 514-5501
Fax
(716) 514-5549

Specialties & Taxonomies

Internal Medicine License: NY #3101000H
Internal Medicine, Gastroenterology License: NY #3101000H
Family Medicine Primary License: NY #3101000H

All Addresses

MAILING

521 EAST AVE

LOCKPORT, NY, 140943201

(716) 514-5501

LOCATION

53 ELIZABETH DR

LOCKPORT, NY, 140945226

(716) 514-5501