National Provider Identifier
Pure Podiatry Of Wny PLLC
Pure Podiatry Of Wny PLLC is listed in the NPPES registry with a primary specialty of Podiatrist in Buffalo, NY and a listed phone number of (716) 897-3720.
Source: public NPPES record, last updated September 17, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1114382520
- Provider Type
- Organization
- Primary Specialty
- Podiatrist
- Enumeration Date
- December 30, 2015
- Last Updated
- September 17, 2024
Practice Location
- 1431 Hertel Ave
- Buffalo, NY 14216-2871
Phone: (716) 897-3720
Authorized Official
- Name
- Breeann N Wilson
- Title
- Owner
- Credentials
- DPM
- Phone
- (716) 897-3720
Specialties
- Podiatrist (213E00000X)
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Organization Overview
Pure Podiatry of WNY, PLLC, also known as Pure Podiatry of WNY, is a Buffalo, New York podiatry practice focused on foot and ankle care for Western New York patients. Its official site describes comprehensive podiatry services including heel pain, dermatology, wound care, ingrown toenails, and sports medicine. The Western Division of the New York State Podiatric Medical Association says the practice was founded by Dr. Breeann N. Wilson in 2016, and Catholic Health lists Pure Podiatry of WNY as one of Dr. Wilson’s office locations.
Full Record
- NPI
- 1114382520
- Entity Type
- Organization
- Organization Name
- Pure Podiatry Of Wny PLLC
- Mailing Street Address
- 1431 Hertel Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-2871
- Mailing Country
- US
- Mailing Phone
- (716) 897-3720
- Mailing Fax
- (716) 897-3918
- Practice Street Address
- 1431 Hertel Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-2871
- Practice Country
- US
- Practice Phone
- (716) 897-3720
- Practice Fax
- (716) 897-3918
- Enumeration Date
- December 30, 2015
- Last Updated
- September 17, 2024
- Authorized Official Last Name
- Wilson
- Authorized Official First Name
- Breeann
- Authorized Official Middle Name
- N
- Authorized Official Title
- Owner
- Authorized Official Phone
- (716) 897-3720
- Organization Subpart
- No
- Authorized Official Credential Text
- DPM
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- September 17, 2024
- Taxonomies
- Podiatrist (213E00000X)
- Other Identifiers
- 04485329 (NY)