| Doctor Name: | JOSEPH R TAKATS |
| NPI Number: | 1083705776 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 111714 |
| Business Practice Address: | 445 Tremont Street North Tonawanda, NY - 14120 |
| Business Phone Number: | 7166944500 |
| Business Fax Number: | |
| Mailing Address: | 50 Alcona Ave, AMHERST |
| State: | NY |
| Postal Code: | 142262201 |
| Phone Number: | 7164478868 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 12/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 111714 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |