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Belaya Medical, PLLC

Dermatology in Cheektowaga, NY. Organization (NPI-2).

NPI number1881998474
StatusActive
Last updated in NPPESDec 29, 2010

Details

NPI
1881998474
Entity type
Organization (NPI-2)
Legal business name
Belaya Medical, PLLC
Organization subpart
No
Enumeration date
Dec 22, 2010
Last updated
Dec 29, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Practice location

5014 Transit Road
Cheektowaga, NY 14043

Phone 716-684-2273 · Fax 716-684-2274

Mailing address

1 John James Audubon Pkwy
Amherst, NY 14228-1143

Phone 716-204-4500 · Fax 716-204-4501

Authorized official

Gregory F Daniel
Ceo
7162044500

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