| Western New York Medical Practice, P.c. | |
|
2226 Penfield Rd Penfield NY 14526-1922 | |
| (585) 377-5810 | |
| (585) 377-1121 |
| Full Name | Western New York Medical Practice, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2226 Penfield Rd, Penfield, New York |
| Authorized Official Name and Position | Nichole S Holder (DIRECTOR - PAYER ENROLLMENT) |
| Authorized Official Contact | 5859220293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western New York Medical Practice, P.c. 100 Kings Hwy S Rochester NY 14617-5504 Ph: (585) 922-1900 | Western New York Medical Practice, P.c. 2226 Penfield Rd Penfield NY 14526-1922 Ph: (585) 377-5810 |
| NPI Number | 1134815301 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134815301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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