National Provider Identifier

Western New York Medical Practice P.C.

Western New York Medical Practice P.C. is listed in the NPPES registry with a primary specialty of Durable Medical Equipment & Medical Supplies in Rochester, NY and a listed phone number of (585) 342-2410.

NPI 1497334510Rochester, NYDurable Medical Equipment & Medical Supplies

Profile Overview

NPI
1497334510
Provider Type
Organization
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
April 06, 2021
Last Updated
April 06, 2021

Practice Location

  • 2619 Culver RD Ste 2A
  • Rochester, NY 14609-1738

Phone: (585) 342-2410

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
NPI
1497334510
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Western New York Medical Practice P.C.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-1900
Practice Street Address
2619 Culver RD Ste 2A
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-1738
Practice Country
US
Practice Phone
(585) 342-2410
Enumeration Date
April 06, 2021
Last Updated
April 06, 2021
Authorized Official Last Name
Holder
Authorized Official First Name
Nichole
Authorized Official Middle Name
S
Authorized Official Title
Director - Payer Enrollment
Authorized Official Phone
(585) 922-0293
Organization Subpart
Yes
Parent Organization Name
WESTERN NEW YORK MEDICAL PRACTICE P.C.
Parent Organization TIN
<UNAVAIL>
Certification Date
April 06, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Durable Medical Equipment & Medical Supplies (332B00000X)