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Organization
GENERAL PHYSICIAN SUB II PLLC
Active
Organization
GENERAL PHYSICIAN SUB II PLLC
Active
Parent organization
GENERAL PHYSICIAN, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERAL PHYSICIAN, PC
Authorized official
DR. MICHAEL MINEO MD (DIRECTOR)
(716) 859-8831
Entity
Organization
Contact information
Practice address
100 HIGH ST, RM C421, BUFFALO, NY 14203-1126
(716) 859-7607
(716) 859-2885
Mailing address
PO BOX 8000, BUFFALO, NY 14240-8000
(203) 944-1940
(203) 402-4192
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/28/2012
Last updated
12/14/2022
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