# GREATER NIAGARA MEDICAL GROUP

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

## Provider details

- **NPI number:** 1093879611
- **Authorized official:** DR. MICHELE ANN POTEMPA MD (OWNER)
- **Authorized official phone:** (716) 433-8751

## Contact information

- **Practice address:** 5879 SNYDER DR, LOCKPORT, NY 14094-9497
- **Practice address phone:** (716) 433-8751
- **Practice address fax:** (716) 433-8792
- **Mailing address:** 5879 SNYDER DR, LOCKPORT, NY 14094-9497
- **Mailing address phone:** (716) 433-8751
- **Mailing address fax:** (716) 433-8792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 08/22/2020