# WYOMING COUNTY

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

## Provider details

- **NPI number:** 1891263794
- **Authorized official:** BARBARA BUKIEWICZ (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (585) 786-8940

## Contact information

- **Practice address:** 400 N MAIN ST, WARSAW, NY 14569-1025
- **Practice address phone:** (585) 786-1555
- **Practice address fax:** (585) 861-6200
- **Mailing address:** 400 N MAIN ST, WARSAW, NY 14569-1025
- **Mailing address phone:** (585) 786-1555
- **Mailing address fax:** (585) 861-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2018
- **Last updated:** 11/08/2018