National Provider Identifier

Wayman Cornelius McCoy, MD

Wayman Cornelius McCoy, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 878-2700.

NPI 1982662565Buffalo, NYPediatrics Physician

Profile Overview

NPI
1982662565
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
May 03, 2006
Last Updated
January 11, 2010

Practice Location

  • 899 Main St
  • Buffalo, NY 14203

Phone: (716) 878-2700

Mailing Address

  • 120 Gardenville Pkwy W
  • Attn: Credentialing
  • West Seneca, NY 14224-1324

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1982662565
Entity Type
Individual
Last Name
McCoy
First Name
Wayman
Middle Name
Cornelius
Credential
MD
Mailing Street Address
120 Gardenville Pkwy W
Mailing Address Line 2
Attn: Credentialing
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-1324
Mailing Country
US
Mailing Phone
(716) 857-6150
Mailing Fax
(716) 656-4074
Practice Street Address
899 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203
Practice Country
US
Practice Phone
(716) 878-2700
Practice Fax
(716) 504-5544
Enumeration Date
May 03, 2006
Last Updated
January 11, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
00010113803 (NY, Univera #), 000503171006 (NY, Health Now BCBS #), 159894DL (NY, Preferred Care #), 040426000155 (NY, Fidelis Care #), 1200515 (NY, Iha #)