Provider Demographics
NPI:1881854222
Name:WESTERN NEW YORK PAIN RELIEF CENTER
Entity Type:Organization
Organization Name:WESTERN NEW YORK PAIN RELIEF CENTER
Other - Org Name:ARVIND K WADHWA MEDICAL PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:
Authorized Official - Last Name:WADHWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-434-5380
Mailing Address - Street 1:5875 S TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-6340
Mailing Address - Country:US
Mailing Address - Phone:716-434-5380
Mailing Address - Fax:
Practice Address - Street 1:5875 S TRANSIT RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-6340
Practice Address - Country:US
Practice Address - Phone:716-434-5380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical