WNY SKIN SURGERY AND DERMATOLOGY PC
Ambulatory Health at Wehrle Dr, Buffalo, NY

License number
New York 2301181
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
License number
New York 230118-1
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. MICHELLE L BENNETT M.D.
Title: PRESIDENT
Phone: (716) 631-1622
Address
Address
2805 Wehrle Dr SUITE 10, Buffalo, NY 14221
National Provider ID: 1427017300
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WNY SKIN SURGERY AND DERMATOLOGY, PC

2805 Wehrle Dr / #10, Buffalo, NY 14221

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Nov 12, 2003
Inactive since:
Jun 2, 2011
State ID:
2976328
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Michelle L. Bennett, 2805 Wehrle Dr / #10, Buffalo, NY 14221 (Physical)

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