National Provider Identifier

Podiatry Solutions Of Wny

Podiatry Solutions Of Wny is listed in the NPPES registry with a primary specialty of Podiatrist in Williamsville, NY and a listed phone number of (716) 634-5993.

NPI 1205054442Williamsville, NYPodiatrist

Source: public NPPES record, last updated March 28, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1205054442
Provider Type
Organization
Primary Specialty
Podiatrist
Enumeration Date
April 23, 2007
Last Updated
March 28, 2023

Practice Location

  • 15 S Forest RD
  • Williamsville, NY 14221-6444

Phone: (716) 634-5993

Authorized Official

Name
Dr. Jason T White
Title
Owner
Credentials
DPM
Phone
(716) 434-6601

Specialties

  • Podiatrist (213E00000X)
  • Point of Service (305S00000X)

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Full Record
NPI
1205054442
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Podiatry Solutions Of Wny
Mailing Street Address
15 S Forest RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6444
Mailing Country
US
Mailing Phone
(716) 634-5993
Mailing Fax
(716) 478-0946
Practice Street Address
15 S Forest RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6444
Practice Country
US
Practice Phone
(716) 634-5993
Practice Fax
(716) 478-0946
Enumeration Date
April 23, 2007
Last Updated
March 28, 2023
Authorized Official Last Name
White
Authorized Official First Name
Jason
Authorized Official Middle Name
T
Authorized Official Title
Owner
Authorized Official Phone
(716) 434-6601
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
DPM
Taxonomy Group 2
193400000X Single Specialty Group
Certification Date
March 28, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Podiatrist (213E00000X), Point of Service (305S00000X)
Other Identifiers
000526926002 (NY, Blue Cross), 00026080003 (NY, Univera)