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Organization

GENERAL PHYSICIAN, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL MINEO MD (DIRECTOR)
(716) 859-8831
Entity
Organization

Contact information

Practice address
3898 VINEYARD DR, DUNKIRK, NY 14048-3559
(716) 692-3302
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(203) 944-1940
(203) 402-4192

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/30/2009
Last updated
12/14/2022
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