GENERAL PHYSICIAN SUB II PLLC NPI 1003174921

NPI Information

  • NPI: 1003174921
  • Provider Name: GENERAL PHYSICIAN SUB II PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 100 HIGH ST
    RM C421
    BUFFALO, NY
    ZIP 14203
  • Phone: (716) 859-7607

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NPI Details

GENERAL PHYSICIAN SUB II PLLC is a specialist in Buffalo, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GENERAL PHYSICIAN SUB II PLLC NPI is 1003174921. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 HIGH ST
RM C421
BUFFALO, NY
ZIP 14203-126
Phone: (716) 859-7607
Fax: (716) 859-2885

The provider's authorized official is Michael Mineo .
The authorized official title is Director and has the following contact phone number (716) 859-8831.

The enumeration date for this NPI number is 4/28/2012 and was last updated on 12/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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