Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

General Physician Sub II PLLC

Organization Specialist · NPI 1003174921

General Physician Sub II PLLC is a Specialist in Buffalo, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100 High St Rm C421
Buffalo, NY 14203-1126
Phone: (716) 859-7607
Fax: (716) 859-2885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1003174921
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeneral Physician, PC
Authorized official Michael Mineo — Director · (716) 859-8831
NPI enumeratedApril 28, 2012
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing addressPo Box 8000, Buffalo, NY 14240-8000

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