National Provider Identifier
Mitchel K Mediak
Mitchel K Mediak is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Williamsville, NY and a listed phone number of (716) 632-3700.
Profile Overview
- NPI
- 1457127656
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- November 29, 2023
- Last Updated
- November 29, 2023
Practice Location
- 2699 Wehrle Dr
- Williamsville, NY 14221-7332
Phone: (716) 632-3700
Mailing Address
- 212 Garden Pkwy
- Williamsville, NY 14221-6634
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1457127656
- Entity Type
- Individual
- Last Name
- Mediak
- First Name
- Mitchel
- Middle Name
- K
- Mailing Street Address
- 212 Garden Pkwy
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6634
- Mailing Country
- US
- Mailing Phone
- (716) 474-0470
- Practice Street Address
- 2699 Wehrle Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7332
- Practice Country
- US
- Practice Phone
- (716) 632-3700
- Enumeration Date
- November 29, 2023
- Last Updated
- November 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)