# WNY PODIATRIC ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1710480173
- **Authorized official:** MARGARRET LAW (BILLING & CREDENTIALLING CLERK)
- **Authorized official phone:** (716) 656-0078

## Contact information

- **Practice address:** 2121 MAIN ST STE 214, BUFFALO, NY 14214
- **Practice address phone:** (716) 838-2983
- **Practice address fax:** (716) 838-2942
- **Mailing address:** 2121 MAIN ST STE 214, BUFFALO, NY 14214-2693
- **Mailing address phone:** (716) 838-2983
- **Mailing address fax:** (716) 838-2942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2018
- **Last updated:** 05/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01253438 | — | NY |
