| Wellness Medical Practice, PLLC | |
|
135 Grant St Buffalo NY 14213-1604 | |
| (716) 881-4300 | |
| (716) 881-5300 |
| Full Name | Wellness Medical Practice, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 Grant St, Buffalo, New York |
| Authorized Official Name and Position | Glennell R Smith (OWNER) |
| Authorized Official Contact | 7168814300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Medical Practice, PLLC 908 Niagara Falls Blvd Suite 208 North Tonawanda NY 14120-2019 Ph: (716) 692-3302 | Wellness Medical Practice, PLLC 135 Grant St Buffalo NY 14213-1604 Ph: (716) 881-4300 |
| NPI Number | 1780626960 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780626960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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