| Providence Therapeutics, Llc | |
|
141 Elm St Apt 3c Buffalo NY 14203-2083 | |
| (401) 935-2067 | |
| Not Available |
| Full Name | Providence Therapeutics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 141 Elm St Apt 3c, Buffalo, New York |
| Authorized Official Name and Position | Anthony Dunning Martinez (OWNER) |
| Authorized Official Contact | 4019352067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Therapeutics, Llc 141 Elm St Apt 3c Buffalo NY 14203-2083 Ph: () - | Providence Therapeutics, Llc 141 Elm St Apt 3c Buffalo NY 14203-2083 Ph: (401) 935-2067 |
| NPI Number | 1992216907 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 10/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992216907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 238099 (New York) | Primary |
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