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Organization
TRINITY MEDICAL WNY PC
Active
Organization
TRINITY MEDICAL WNY PC
Active
Parent organization
TRINITY MEDICAL WNY PC
Other names
Trinity Niagara Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY MEDICAL WNY PC
Authorized official
THOMAS CUMBO MD (PRESIDENT/OWNER)
(716) 298-5862
Entity
Organization
Contact information
Practice address
7300 PORTER RD, NIAGARA FALLS, NY 14304-5716
(716) 298-5862
(716) 298-5896
Mailing address
144 GENESEE ST FL 3, BUFFALO, NY 14203-1560
(716) 601-3690
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/17/2019
Last updated
11/20/2019
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