Western New York Medical Practice, P.c.

NPI #1134815301 in Penfield, New York

Provider Information

NPI Number: 1134815301
Entity Type: Organization
Organization Name: Western New York Medical Practice, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 12, 2023
Last Updated: Apr 12, 2023

Practice Location

Address: 2226 PENFIELD RD
City: Penfield
State: New York
ZIP Code: 14526-1922
Phone: (585) 377-5810

Authorized Official

Name: NICHOLE S HOLDER
Title: DIRECTOR - PAYER ENROLLMENT
Phone: (585) 922-0293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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