General Physician Sub II Pllc

NPI #1003174921 in Buffalo, New York

Provider Information

NPI Number: 1003174921
Entity Type: Organization
Organization Name: General Physician Sub II Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: GENERAL PHYSICIAN, PC
Primary Specialty: Specialist
Enumeration Date: Apr 28, 2012
Last Updated: Dec 14, 2022

Practice Location

Address: 100 HIGH ST
Address 2: RM C421
City: Buffalo
State: New York
ZIP Code: 14203-1126
Phone: (716) 859-7607

Authorized Official

Name: DR. MICHAEL MINEO, MD
Title: DIRECTOR
Phone: (716) 859-8831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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