WESTERN NEW YORK MEDICAL PRACTICE P.C (NPI# 1942727011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942727011 |
| Entity Type | Organization |
| Organization Name | WESTERN NEW YORK MEDICAL PRACTICE P.C |
| Other Organization Name | WNY GENESEE VALLEY DERMATOLOGY LASER & SPA |
| Practice Address |
300 White Spruce Blvd Ste 200 Rochester NY 14623-1606 |
| Practice Telephone | (585) 424-6770 |
| Mailing Telephone | 5854246770 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Authorized Official Name | PAULA TINCH (SVP) |
| Authorized Official Telephone | 5859221223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WNY Genesee Valley Dermatology Laser & Spa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871157503 | Western New York Medical Practice P.c | Technician/Technologist | 500 Kreag Rd, Pittsford, NY 14534-3705 | 2019-04-29 |
| 1891359824 | Western New York Medical Practice P.c | Ophthalmology | 500 Kreag Rd, Pittsford, NY 14534-3705 | 2019-04-25 |
| 1154834877 | Western New York Medical Practice P.c | Clinic/Center | 470 Long Pond Rd, Rochester, NY 14612-3057 | 2017-11-16 |
| 1710425426 | Western New York Medical Practice P.c | Durable Medical Equipment & Medical Supplies | 875 Pre Emption Rd, Geneva, NY 14456-2042 | 2017-02-02 |
| 1548707078 | Western New York Medical Practice P.c | Durable Medical Equipment & Medical Supplies | 1200 Driving Park Ave, Suite 4, Newark, NY 14513-1090 | 2017-01-23 |
| 1447797972 | Western New York Medical Practice P.c | Durable Medical Equipment & Medical Supplies | 2 Coulter Rd, Suite 1640, Clifton Springs, NY 14432-1122 | 2017-01-23 |
| 1083151518 | Western New York Medical Practice P.c | Durable Medical Equipment & Medical Supplies | 401 S Main St, Canandaigua, NY 14424-2126 | 2017-01-23 |
| Street Address |
300 WHITE SPRUCE BLVD STE 200 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760764682 | Casia Joyce Whitney | Physician Assistant | 300 White Spruce Blvd Ste 200, Rochester, NY 14623-1606 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841541943 | Stephen J Xenias, Md PC | Clinic/Center | 1716 E Ridge Rd, Rochester, NY 14622-2157 | 2012-09-28 |
| 1205947678 | Zonecl Medical Pllc | Clinic/Center | 2233 Clinton Ave S, Rochester, NY 14618-2623 | 2006-08-31 |
| 1437794013 | Dr A Khan Medical Pllc | Clinic/Center | 890 Westfall Rd, Rochester, NY 14618-2610 | 2019-11-07 |
| 1396386132 | Little Buddies Child Neurology Pllc | Clinic/Center | 1655 Elmwood Ave Ste 222, Rochester, NY 14620-3426 | 2019-10-02 |
| 1114252228 | Darrick J. Alaimo, Md, LLC | Clinic/Center | 687 Lee Rd, Suite 109, Rochester, NY 14606-4257 | 2009-10-07 |
| 1366611709 | O Gregory Zazulak, Md, PC | Clinic/Center | 890 Westfall Rd, Suite E, Rochester, NY 14618-2610 | 2008-02-28 |
| 1427235068 | Mayo Clinic | Clinic/Center | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-01-25 |
| 1912183690 | Brighton Psychiatric Services PC | Clinic/Center | 2290 East Ave, Rochester, NY 14610-2518 | 2008-01-13 |
| 1447445291 | Scott L. Roth M.d, LLC | Clinic/Center | 1012 Elmgrove Rd, Rochester, NY 14624-1324 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730704347 | Prestocorp | Clinic/Center | 315 W 36th St Fl 6, New York, NY 10018-6532 | 2020-06-09 |
| 1356977151 | Annie Coburn Kane, Lcsw PC | Clinic/Center | 638 Lake St # 818, Wilson, NY 14172-9600 | 2020-03-12 |
| 1386283695 | Queens Podiatry Pllc | Clinic/Center | 7001 Grand Ave, Maspeth, NY 11378-1820 | 2020-01-03 |
| 1184262255 | Health & Wellness Group Inc | Clinic/Center | 211 Broadway Ste 205, Lynbrook, NY 11563-3290 | 2019-12-19 |
| 1285278606 | Pure Eyecare Optometry P.C. | Clinic/Center | 10537 65th Ave Apt 4d, Forest Hills, NY 11375-1818 | 2019-10-29 |
| 1720629454 | International Travel Medicine, PC | Clinic/Center | 200 S Service Rd Ste 212, Roslyn Hts, NY 11577-2118 | 2019-10-03 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1174178396 | Instant Care Np In Family Health | Clinic/Center | 89 Tennyson Dr, Nanuet, NY 10954-1039 | 2019-08-05 |
| 1811455801 | Five Borough Gastroenterology Medical Pllc | Clinic/Center | 340 W 86th St Apt 1a, New York, NY 10024-3274 | 2019-03-08 |
| 1598259996 | Ds Medical Diagnostics PC | Clinic/Center | 13249 41st Rd Ste 1c, Flushing, NY 11355-4286 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.