person
Mr. Dicky Oswari SR., MD
General Practice Physician in Middleport, New York
NPI 1851480222

Dicky Oswari SR. is a General Practice Physician based in Middleport, NY. Dicky Oswari SR. practices in Middleport, NY and has the professional credentials of MD. The NPI Number for Dicky Oswari SR. is 1851480222 and holds a License No. 115632 (New York).

The current practice location address for Dicky Oswari SR. is 19 Main St, Middleport, NY and can be reached out via phone at 716-735-7108.

Location: 19 Main St, Middleport, NY, 94105
person
Provider Profile Details
NPI Number
1851480222
Provider Name
Dicky Oswari SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19 Main St, Middleport, NY, 94105
Phone Number
716-735-7108
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00010132101 01 UNIVERA
05067721 01 COMMUNITY BC
6403597 01 INDEPENDENT
institution
Provider Business Practice Location Address Details
Address
19 Main St
City
State
Zip
94105
Phone Number
716-735-7108
Fax Number
person
Provider Business Mailing Address Details
Address
19 Main St
City
State
Zip
94105
Phone Number
716-735-7108
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
115632 (New York)
Definition
Definition to come...
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