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 Durable Medical Equipment & Medical Supplies in Rochester, NY and a listed phone number of (585) 266-2010.
Profile Overview
- NPI
- 1093394983
- Provider Type
- Organization
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- April 07, 2021
- Last Updated
- April 07, 2021
Practice Location
- 1445 Portland Ave Ste 210
- Rochester, NY 14621-3008
Phone: (585) 266-2010
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
- NPI
- 1093394983
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Western New York Medical Practice, P.C.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1900
- Practice Street Address
- 1445 Portland Ave Ste 210
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3008
- Practice Country
- US
- Practice Phone
- (585) 266-2010
- Enumeration Date
- April 07, 2021
- Last Updated
- April 07, 2021
- Authorized Official Last Name
- Holder
- Authorized Official First Name
- Nichole
- Authorized Official Middle Name
- S
- Authorized Official Title
- Director Of Payer Enrollment
- Authorized Official Phone
- (585) 922-0293
- Organization Subpart
- Yes
- Parent Organization Name
- WESTERN NEW YORK MEDICAL PRACTICE, P.C.
- Parent Organization TIN
- <UNAVAIL>
- Certification Date
- April 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Durable Medical Equipment & Medical Supplies (332B00000X)