National Provider Identifier
Western New York Medical Practice P.C.
Western New York Medical Practice P.C. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 922-1318.
Profile Overview
- NPI
- 1063790608
- Provider Type
- Organization
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- August 01, 2011
- Last Updated
- May 16, 2016
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-1318
Authorized Official
- Name
- Paula Tinch
- Title
- Svp- Finance
- Phone
- (585) 922-1223
Specialties
- Family Medicine Physician (207Q00000X)
- Internal Medicine Physician (207R00000X)
- Pain Medicine (Anesthesiology) Physician (207LP2900X)
- Pediatrics Physician (208000000X)
- Surgery Physician (208600000X)
Full Record
- NPI
- 1063790608
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Western New York Medical Practice P.C.
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-1318
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-1318
- Enumeration Date
- August 01, 2011
- Last Updated
- May 16, 2016
- Authorized Official Last Name
- Tinch
- Authorized Official First Name
- Paula
- Authorized Official Title
- Svp- Finance
- Authorized Official Phone
- (585) 922-1223
- Organization Subpart
- No
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- Taxonomy Group 4
- 193200000X Multi-Specialty Group
- Taxonomy Group 5
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Internal Medicine Physician (207R00000X), Pain Medicine (Anesthesiology) Physician (207LP2900X), Pediatrics Physician (208000000X), Surgery Physician (208600000X)
- Other Identifiers
- 03406397 (NY)