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Organization
WESTERN NEW YORK MEDICAL PRACTICE P.C.
Active
Organization
WESTERN NEW YORK MEDICAL PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA TINCH (SVP- FINANCE)
(585) 922-1223
Entity
Organization
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-1318
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-1318
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NY
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NY
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03406397
—
NY
Enumeration date
08/01/2011
Last updated
05/16/2016
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