1730401381

Everything you always wanted to know about ALICE HYDE MEDICAL CENTER 5 ALICE HYDE MEDICAL PRACTICES MRS. MACDONALD M SANDRA but were afraid to ask.

ALICE HYDE MEDICAL CENTER 5 ALICE HYDE MEDICAL PRACTICES MRS. MACDONALD M SANDRA

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
ALICE HYDE MEDICAL CENTER 5 ALICE HYDE MEDICAL PRACTICES MRS. MACDONALD M SANDRA
Gender:
none
Enumeration date:
2010-02-24
Last update date:
2010-04-19
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207RC0000X Cardiovascular Disease none none
204F00000X Transplant Surgery none none
207V00000X Obstetrics & Gynecology none none
204E00000X Oral & Maxillofacial Surgery none none
207N00000X Dermatology none none
2085R0204X Vascular & Interventional Radiology none none
207RE0101X Endocrinology, Diabetes & Metabolism none none
207RN0300X Nephrology none none
207RI0200X Infectious Disease none none
207Q00000X Family Medicine none none
208D00000X General Practice none none

Phone Numbers

Type Number
Mailing Address Telephone Number 7166923302
Practice Location Address Telephone Number 5184833000
Authorized Official Telephone Number 5184812212
Mailing Address Fax Number 7163323658

Addresses

Type Address City State Postal Country
Mailing Address 908 NIAGARA FALLS BLVD NORTH TONAWANDA NY 14120 NY
Practice Location Address 133 PARK ST SUITE 208 MALONE NY 0 NY

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