# WNY REHABILITATION MEDICINE AND PAIN MGMT LLC

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

## Provider details

- **NPI number:** 1164722054
- **Authorized official:** DR. SU ZHAN MD (SOLE MEMBER)
- **Authorized official phone:** (716) 634-4798

## Contact information

- **Practice address:** 100 UNION RD, WEST SENECA, NY 14224-4656
- **Practice address phone:** (716) 677-2700
- **Practice address fax:** (716) 677-2733
- **Mailing address:** 100 UNION RD, WEST SENECA, NY 14224-4656
- **Mailing address phone:** (716) 677-2700
- **Mailing address fax:** (716) 677-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 10/20/2021