National Provider Identifier

Western New York Medical Practice PC

Western New York Medical Practice PC is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 922-4000.

NPI 1275993867Rochester, NYSurgery Physician

Profile Overview

NPI
1275993867
Provider Type
Organization
Primary Specialty
Surgery Physician
Enumeration Date
February 25, 2016
Last Updated
March 22, 2016

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Phone: (585) 922-4000

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1275993867
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Western New York Medical Practice PC
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
1425 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-4000
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
February 25, 2016
Last Updated
March 22, 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
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)