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

Western New York Medical Practice PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1063790608

Western New York Medical Practice PC is a Pain Medicine (Anesthesiology) Physician in Rochester, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3001
Phone: (585) 922-1318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X (NY)
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X (NY)
Surgery Physician Taxonomy 208600000X

Record details

NPI number1063790608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Tinch — Svp- Finance · (585) 922-1223
NPI enumeratedAugust 1, 2011
Last updated in NPPESMay 16, 2016
Mailing address1425 Portland Ave, Rochester, NY 14621-3001

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