Provider Demographics
NPI:1669023610
Name:COMPASSIONATE MEDICAL CARE OF WNY PLLC
Entity Type:Organization
Organization Name:COMPASSIONATE MEDICAL CARE OF WNY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SLATER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-289-6550
Mailing Address - Street 1:656 N FRENCH RD STE 4
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2104
Mailing Address - Country:US
Mailing Address - Phone:716-529-3777
Mailing Address - Fax:716-529-3778
Practice Address - Street 1:656 N FRENCH RD STE 4
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2104
Practice Address - Country:US
Practice Address - Phone:716-529-3777
Practice Address - Fax:716-529-3778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty