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Organization
GENERAL PHYSICIAN, PC
Active
Organization
GENERAL PHYSICIAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MINEO MD (DIRECTOR)
(716) 859-8831
Entity
Organization
Contact information
Practice address
5959 BIG TREE RD STE 102, ORCHARD PARK, NY 14127-2291
(716) 422-5677
Mailing address
726 EXCHANGE ST STE 710, BUFFALO, NY 14210-1464
(716) 852-4772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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