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PODIATRY SOLUTIONS OF WNY PLLC

Foot Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant 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

Location and contact information for practice:
15 S FOREST RD  WILLIAMSVILLE, NY 14221-6425 US
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

Registration Information:
NPI: 1588782635
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0131XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot Surgery
NYN005864

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BC WNY00526926002NY01
UNIVERA00026080003NY01
02344012NY05




HEALTH CARE JOBS NY - Page 1



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