Provider Information for 1427284900
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KAREN PELLIGRA
Other Names:Former Name:KAREN MEYERSSex: Female
NPI: 1427284900
Last Updated: 2009-06-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1427284900 | ||||||||
| Enumeration Date | 2009-06-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 227 THORN AVE BOC 631 ORCHARD PARK, NY 14127-2600 United States Phone: 716-662-2040 | Fax:716-662-0019 | ||||||||
| Primary Practice Address | 1370 NIAGARA FALLS BLVD TONAWANDA, NY 14150-8441 United States Phone: 716-831-1856 | Fax:716-831-0263 | ||||||||
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