TARIK ELIBOL, MD
Osteopathic Medicine at Elmwood Ave, Buffalo, NY

License number
New York 102346-1
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. TARIK ELIBOL M.D.
Title: OWNER
Phone: (716) 876-4033
Address
Address
2949 Elmwood Ave STE 202, Buffalo, NY 14217
National Provider ID: 1912329368
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TARIK ELIBOL, M.D., PC

2797 Elmwood Ave, Buffalo, NY 14217

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jul 7, 1976
Inactive since:
Mar 25, 1992
State ID:
404295
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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