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Organization

WESTERN NEW YORK MEDICAL PRACTICE, P.C.

Active
Parent organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Other names
WNY Ortho at RGH
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Authorized official
NICHOLE S HOLDER (DIRECTOR OF PAYER ENROLLMENT)
(585) 922-0293
Entity
Organization

Contact information

Practice address
1445 PORTLAND AVE STE 210, ROCHESTER, NY 14621-3008
(585) 266-2010
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/07/2021
Last updated
04/07/2021
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