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PODIATRY SOLUTIONS OF WNY PLLC
Foot Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service ProvidersRegistrant NPI Number: 1588782635
Organizational Registrant:Organization Name: PODIATRY SOLUTIONS OF WNY PLLC
Organization is not Subpart
Authorized Official: JASON TODD WHITE OWNER 716--63-45993
Organization is not Subpart
Authorized Official: JASON TODD WHITE OWNER 716--63-45993
Location and contact information for practice:
15 S FOREST RD WILLIAMSVILLE, NY 14221-6425 US
Tel: 716-634-5993 Fax: 716-650-4082
Tel: 716-634-5993 Fax: 716-650-4082
Contact information for business:
15 S FOREST RD WILLIAMSVILLE, NY 14221-6425 US
Tel: 716-634-5993 Fax: 716-650-4082
Tel: 716-634-5993 Fax: 716-650-4082
Registration Information:
NPI: 1588782635
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 213ES0131X | Podiatric Medicine & Surgery Service Providers Podiatrist Foot Surgery | NY | N005864 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC WNY | 00526926002 | NY | 01 |
| UNIVERA | 00026080003 | NY | 01 |
| 02344012 | NY | 05 |
