Phoenix Rising Medical, PC
Phoenix Rising Medical, PC is a Pulmonary Disease Physician in Williamsville, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2829 Wehrle Dr Ste 11AWilliamsville, NY 14221-7387
Phone: (716) 458-0069
Fax: (716) 458-0061
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence 183042 (NY) |
|---|
Record details
| NPI number | 1649470790 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tajuddin Jiva — Owner · (716) 334-9879 |
| NPI enumerated | July 18, 2007 |
| Last updated in NPPES | February 6, 2025 |
| Certification date | February 6, 2025 |
| Mailing address | 2829 Wehrle Dr Ste 11a, Williamsville, NY 14221-7387 |
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