Organization
WNY SKIN SURGERY AND DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE L BENNETT M.D. (PRESIDENT)
(716) 631-1622
Entity
Organization
Contact information
Practice address
2805 WEHRLE DR, SUITE 10, WILLIAMSVILLE, NY 14221-7382
(716) 631-1622
(716) 632-4116
Mailing address
2805 WEHRLE DR, SUITE 10, WILLIAMSVILLE, NY 14221-7382
(716) 631-1622
(716) 632-4116
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2301181
NY
261QM2500X
Medical Specialty Clinic/Center
230118-1
NY
Other
Enumeration date
03/21/2006
Last updated
07/10/2007
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