Organization
PODIATRY SOLUTIONS OF WNY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T WHITE DPM (OWNER)
(716) 434-6601
Entity
Organization
Contact information
Practice address
6000 BROCKTON DR, SUITE 102, LOCKPORT, NY 14094-9273
(716) 434-6601
(716) 434-1096
Mailing address
6000 BROCKTON DR, SUITE 102, LOCKPORT, NY 14094-9273
(716) 434-6601
(716) 434-1096
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005864
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026080003
UNIVERA
NY
01
—
0052696002
BLUE CROSS
NY
05
—
02344012
—
NY
Enumeration date
04/10/2007
Last updated
08/20/2007
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