# GENERAL PHYSICIAN, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063236529
- **Authorized official:** MICHAEL MINEO MD (DIRECTOR)
- **Authorized official phone:** (716) 859-8831

## Contact information

- **Practice address:** 5959 BIG TREE RD STE 102, ORCHARD PARK, NY 14127-2291
- **Practice address phone:** (716) 422-5677
- **Mailing address:** 726 EXCHANGE ST STE 710, BUFFALO, NY 14210-1464
- **Mailing address phone:** (716) 852-4772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2024
- **Last updated:** 11/12/2024