Provider Demographics
NPI:1669012720
Name:TRINITY MEDICAL WNY PC
Entity Type:Organization
Organization Name:TRINITY MEDICAL WNY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-204-1101
Mailing Address - Street 1:144 GENESEE ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1560
Mailing Address - Country:US
Mailing Address - Phone:716-601-3690
Mailing Address - Fax:
Practice Address - Street 1:400 NORTH MAIN ST
Practice Address - Street 2:ORTHOPAEDIC SUITE
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1024
Practice Address - Country:US
Practice Address - Phone:716-204-1101
Practice Address - Fax:716-204-8528
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY MEDICAL WNY PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies