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Search › New York › 207Q00000X

Tity Kpandeyenge, M.D

NPI 1134506702 · on the registry since 2015

Practice

Address
184 Barton St
Buffalo, NY 14213
Phone
(716) 348-3000
Fax
(716) 881-6247
Organisation at this address
Myron L Glick Md
Jericho Road Ministries Inc.
Jericho Road Ministries Inc.
Jericho Road Ministries Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Additional practice sites

  • 1850 E Park Ave Ste 207, State College, PA
  • 4095 American Way, Memphis, TN
  • 1850 E Park Ave Ste 207, State College, PA

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
PA, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York