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1184872749
NICOLE KSIAZEK
BUFFALO, NY
NPI
1184872749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 012647)
Enumeration Date
2008-09-08
Last Update Date
2021-10-08
Business Address
NICOLE KSIAZEK PA
ELM AND CARLTON ST
BUFFALO, NY 14263-1426
Phone number: 716-845-2300
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Mailing Address
NICOLE KSIAZEK PA
PO BOX 5101
BUFFALO, NY 14240-5101
Phone number: 716-204-2273
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