| Medical Weight Loss Of New York, Pllc | |
|
6800 E Genesee St Suite 1501 Fayetteville NY 13066-1089 | |
| (315) 391-9390 | |
| (315) 445-0056 |
| Full Name | Medical Weight Loss Of New York, Pllc |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 6800 E Genesee St, Fayetteville, New York |
| Authorized Official Name and Position | Bryan T Wendel (PRACTICE MANAGER) |
| Authorized Official Contact | 3154450003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Weight Loss Of New York, Pllc 6800 E Genesee St Suite 1501 Fayetteville NY 13066-1089 Ph: (315) 391-9390 | Medical Weight Loss Of New York, Pllc 6800 E Genesee St Suite 1501 Fayetteville NY 13066-1089 Ph: (315) 391-9390 |
| NPI Number | 1174940696 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 03/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174940696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
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