Individual
GUY M WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Mailing address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
178512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010188203
UNIVERA
NY
01
—
000510800004
BC/BS
NY
05
—
01140472
—
NY
01
—
0409951
IHA
NY
01
—
434280
WELLCARE
NY
Enumeration date
12/02/2005
Last updated
07/26/2014
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