Organization
WNY GI CONNECTION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY TRUBISH MD (PHYSICIAN)
(716) 671-2507
Entity
Organization
Contact information
Practice address
3030 ORCHARD PARK RD, WEST SENECA, NY 14224-4638
(716) 671-2507
Mailing address
3030 ORCHARD PARK RD, WEST SENECA, NY 14224-4638
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
186192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295817369
NPI
—
01
—
CC5590
PTAN
—
Enumeration date
11/04/2015
Last updated
11/04/2015
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