Medical Weight Loss of New York, PLLC
Medical Weight Loss of New York, PLLC provides Obesity Medicine (Family Medicine) Physician services in Fayetteville, New York. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6800 E Genesee St Ste 1501Fayetteville, NY 13066-1089 Not confirmed with CMS for 12 years — call before visiting
Phone: (315) 391-9390
Fax: (315) 445-0056
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obesity Medicine (Family Medicine) Physician (primary) | Taxonomy 207QB0002X |
|---|---|
| Obesity Medicine (Internal Medicine) Physician | Taxonomy 207RB0002X |
Record details
| NPI number | 1174940696 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Wendel — Practice Manager · (315) 445-0003 |
| NPI enumerated | March 21, 2014 |
| Last updated in NPPES | March 21, 2014 |
| Mailing address | 6800 E Genesee St, Suite 1501, Fayetteville, NY 13066-1089 |