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Empire Wound Physician Services, Pllc
General Practice Physician in Liberty, New York
NPI 1093130742

Empire Wound Physician Services, Pllc is a General Practice Physician based in Mayfield Heights, NY. Empire Wound Physician Services, Pllc practices in Liberty, NY. The NPI Number for Empire Wound Physician Services, Pllc is 1093130742 and holds a License No. (New York).

The current practice location address for Empire Wound Physician Services, Pllc is 170 Lake St, Liberty, NY and can be reached out via phone at 216-273-9800 and via fax at 216-273-9998.

Location: 170 Lake St, Liberty, NY, 44124-4103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093130742
Provider Name
Empire Wound Physician Services, Pllc
Credential
Provider Entity Type
Organization
Address
170 Lake St, Liberty, NY, 44124-4103
Phone Number
216-273-9800
Fax Number
216-273-9998
Provider Enumeration Date
03/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04025343 05 NY
institution
Provider Business Practice Location Address Details
Address
170 Lake St
City
Liberty
State
New York
Zip
12754-1966
Phone Number
216-273-9800
Fax Number
216-273-9998
person
Provider Business Mailing Address Details
Address
170 Lake St
City
Liberty
State
New York
Zip
12754-1966
Phone Number
216-273-9800
Fax Number
216-273-9998
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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