# WESTERN NEW YORK MEDICAL PRACTICE P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WNY Genesee Valley Dermatology Laser & Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942727011
- **Authorized official:** PAULA TINCH (SVP)
- **Authorized official phone:** (585) 922-1223

## Contact information

- **Practice address:** 300 WHITE SPRUCE BLVD STE 200, ROCHESTER, NY 14623-1606
- **Practice address phone:** (585) 424-6770
- **Mailing address:** 300 WHITE SPRUCE BLVD STE 200, ROCHESTER, NY 14623-1606
- **Mailing address phone:** (585) 424-6770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 07/21/2022
