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PODIATRY SOLUTIONS OF WNY

>> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1205054442

Organizational Registrant:
Organization Name:  PODIATRY SOLUTIONS OF WNY
Organization is not Subpart
Authorized Official:  JASON T WHITE  OWNER  716--43-46601

Location and contact information for practice:
6040 EDWARDS AEVNUE  NEWFANE, NY 14008-1009 US
Tel: 716-434-6601  Fax: --

Contact information for business:
6000 BROCKTON DR SUITE 102 LOCKPORT, NY 14094-9273 US
Tel: 716-434-6601  Fax: 716-434-1096

Registration Information:
NPI: 1205054442
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
NY005864

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS000526926002NY01
UNIVERA00026080003NY01




HEALTH CARE JOBS NY - Page 1



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