# NY PRIMARY CARE PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellNow Allergy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104276252
- **Authorized official:** TRACY M SCIOLINO (MANAGER)
- **Authorized official phone:** (716) 699-9032

## Contact information

- **Practice address:** 3245 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1258
- **Practice address phone:** (716) 608-2226
- **Practice address fax:** (716) 671-8120
- **Mailing address:** PO BOX 500, ELLICOTTVILLE, NY 14731-0500
- **Mailing address phone:** (716) 699-9032
- **Mailing address fax:** (716) 699-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 06/03/2022