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1164533642
BRUCE MICHAEL SMALL
BATAVIA, NY
NPI
1164533642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: NY 128047)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- BRUCE MICHAEL SMALL MD
220 RICHMOND AVE
BATAVIA, NY 14020-1227
Phone number: 585-345-2042
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Mailing Address
-- BRUCE MICHAEL SMALL MD
10540 STONEWAY
CLARENCE, NY 14031-2100
Phone number: 716-759-8459
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