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1235464587
MICHAEL R BRYNILDSEN
BUFFALO, NY
NPI
1235464587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013601)
Enumeration Date
2009-10-05
Last Update Date
2009-10-05
Business Address
-- MICHAEL R BRYNILDSEN PA
899 MAIN ST
BUFFALO, NY 14203-1109
Phone number: 716-878-2700
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Mailing Address
-- MICHAEL R BRYNILDSEN PA
120 GARDENVILLE PKWY W C/O CREDENTIALING DEPARTMENT
WEST SENECA, NY 14224-1324
Phone number: 716-857-6150
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