Organization
WESTERN NEW YORK MEDICAL PRACTICE P.C.
Active
Parent organization
WESTERN NEW YORK MEDICAL PRACTICE P.C.
Other names
WNY Sports & Ortho
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN NEW YORK MEDICAL PRACTICE P.C.
Authorized official
NICHOLE S HOLDER (DIRECTOR - PAYER ENROLLMENT)
(585) 922-0293
Entity
Organization
Contact information
Practice address
2619 CULVER RD STE 2A, ROCHESTER, NY 14609-1738
(585) 342-2410
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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