Individual
MITCHEL K MEDIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2699 WEHRLE DR, WILLIAMSVILLE, NY 14221-7332
(716) 632-3700
Mailing address
212 GARDEN PKWY, WILLIAMSVILLE, NY 14221-6634
(716) 474-0470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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