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DR. MICHAEL JAMES FANNING MD

Allergy

Amherst, New York

Provider NPI: 1811977127

Provider Information:
DR. MICHAEL JAMES FANNING MD


Practice Location:
500 CORPORATE PKWY SUITE 100 AMHERST, NY 14226 US
Tel: 716-631-0380  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
NY134690

Other Provider Identifiers:

IssuerNumberStateType
00786329NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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