# GENERAL PHYSICIAN SUB II PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENERAL PHYSICIAN, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003174921
- **Legal business name:** GENERAL PHYSICIAN, PC
- **Authorized official:** DR. MICHAEL MINEO MD (DIRECTOR)
- **Authorized official phone:** (716) 859-8831

## Contact information

- **Practice address:** 100 HIGH ST, RM C421, BUFFALO, NY 14203-1126
- **Practice address phone:** (716) 859-7607
- **Practice address fax:** (716) 859-2885
- **Mailing address:** PO BOX 8000, BUFFALO, NY 14240-8000
- **Mailing address phone:** (203) 944-1940
- **Mailing address fax:** (203) 402-4192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2012
- **Last updated:** 12/14/2022