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Kenmore Mercy Hospital

Internal Medicine, Pulmonary Disease in Kenmore, NY. Organization (NPI-2).

NPI number1659909752
StatusActive
Last updated in NPPESApr 1, 2020

Details

NPI
1659909752
Entity type
Organization (NPI-2)
Legal business name
Kenmore Mercy Hospital
Organization subpart
Yes
Enumeration date
Apr 1, 2020
Certification date
Apr 1, 2020
Last updated
Apr 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease––Yes

Other names

  • Kenmore Mercy Professional Services (Doing Business As)

Practice location

2950 Elmwood Ave
Kenmore, NY 14217-1304

Phone 716-447-6100

Mailing address

144 Genesee St Fl 3
Buffalo, NY 14203-1560

Authorized official

David P Macholz
Authorized Official
7166013690

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