Most Relevant Information
Provider Data
NPI Number: | 1003436601 |
Provider Name: | MAXIAM DEAN |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | 320766 |
Most Important Dates
Enumeration Date: | 04/23/2020 |
Last Updated: | 09/25/2023 |
Provider Practice Location
3495 BAILEY AVE
BUFFALO
NY
142151129
Practice Location Phone/Fax
Phone: | 7168349200 |
Fax: |
Provider Mailing Location
3495 BAILEY AVE
BUFFALO
NY
142151129
Provider Mailing Phone/Fax
Phone: | 7168349200 |
Fax: |
Suggested EMR
Family Practice EMR