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 Optician in Rochester, NY and a listed phone number of (585) 244-0332.

NPI 1932864584Rochester, NYOptician

Profile Overview

NPI
1932864584
Provider Type
Organization
Primary Specialty
Optician
Enumeration Date
November 08, 2021
Last Updated
February 28, 2023

Practice Location

  • 10 S Pointe Lndg Ste 230
  • Rochester, NY 14606-3483

Phone: (585) 244-0332

Mailing Address

  • 10 S Pointe Lndg
  • Rochester, NY 14606-3481

Specialties

  • Optician (156FX1800X)
  • Eyewear Supplier (332H00000X)
Full Record
NPI
1932864584
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Western New York Medical Practice, P.C.
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
10 S Pointe Lndg
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-3481
Mailing Country
US
Mailing Phone
(585) 244-0332
Practice Street Address
10 S Pointe Lndg Ste 230
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-3483
Practice Country
US
Practice Phone
(585) 244-0332
Enumeration Date
November 08, 2021
Last Updated
February 28, 2023
Authorized Official Last Name
Holder
Authorized Official First Name
Nichole
Authorized Official Middle Name
S
Authorized Official Title
Director
Authorized Official Phone
(585) 922-0293
Organization Subpart
Yes
Parent Organization Name
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Parent Organization TIN
<UNAVAIL>
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
February 28, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X), Eyewear Supplier (332H00000X)