NPI 1790112548

Exotica Beachwear & Tanning INC.

Organisation Point of Service Buffalo, NY

Practice location

Address: 156 Elmwood Ave, Buffalo, NY 14201-1420
Phone: (716) 939-3355

Authorised official

Name: Karen Falzone
Title: Ceo
Phone: (716) 939-3355

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 025047-1 (NY)

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Registry record

NPI: 1790112548
Entity type: Organization
NPI issued: 10 Oct 2013
Record last updated: 10 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.