National Provider Identifier
Breeann N Wilson, DPM
Breeann N Wilson, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Buffalo, NY and a listed phone number of (716) 897-3720.
Profile Overview
- NPI
- 1255573887
- Provider Type
- Individual
- Primary Specialty
- Foot & Ankle Surgery Podiatrist
- Enumeration Date
- March 27, 2009
- Last Updated
- September 18, 2024
Practice Location
- 1431 Hertel Ave
- Buffalo, NY 14216-2871
Phone: (716) 897-3720
Specialties
- Foot & Ankle Surgery Podiatrist (213ES0103X)
- Podiatrist (213E00000X)
Full Record
- NPI
- 1255573887
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Breeann
- Middle Name
- N
- Name Prefix
- Dr.
- Credential
- DPM
- 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
- March 27, 2009
- Last Updated
- September 18, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Foot & Ankle Surgery Podiatrist (213ES0103X), Podiatrist (213E00000X)