Organization
CCS MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WON SAM YI MD (OWNER/PRESIDENT)
(716) 655-2690
Entity
Organization
Contact information
Practice address
45 SPINDRIFT DR, SUITE 100, WILLIAMSVILLE, NY 14221-7889
(716) 565-0355
Mailing address
45 SPINDRIFT DR, SUITE 100, WILLIAMSVILLE, NY 14221-7889
(716) 565-0355
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03493785
—
NY
Enumeration date
07/27/2012
Last updated
10/30/2012
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