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FOUR SEASONS MEDICAL OF WNY PC
NPI 1427592195
Clinic/Center - Health Service in Cheektowaga, NY

Active since December 14, 2016
2625 HARLEM RD, STE 70, CHEEKTOWAGA, NY 14225(716) 462-5552(716) 424-0790 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Health Service

About FOUR SEASONS MEDICAL OF WNY PC

This page provides the complete NPI Profile along with additional information for Four Seasons Medical Of Wny Pc, a provider established in Cheektowaga, New York operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1427592195 assigned on December 2016. The practitioner's primary taxonomy code is 261QH0100X with license number 195126 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Mary Ann Dirienzo Lpn (Credentialing Specialist)

NPI
1427592195 Verify this NPI
Provider Name
FOUR SEASONS MEDICAL OF WNY PC
Entity Type
Organization
Location Address
2625 HARLEM RD STE 70 CHEEKTOWAGA, NY 14225
Location Phone
(716) 462-5552
Location Fax
(716) 424-0790
Mailing Address
2625 HARLEM RD STE 70 CHEEKTOWAGA, NY 14225
Mailing Phone
(716) 462-5552
Mailing Fax
(716) 424-0790
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-14-2016
Last Update Date
12-14-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
195126
License State
NY

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARY ANN DIRIENZO LPN

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(716) 984-2090

Reviews for FOUR SEASONS MEDICAL OF WNY PC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

DR. RAMESH LUTHER M.D.
Internal Medicine (Gastroenterology)
2625 HARLEM RD
CHEEKTOWAGA, NY 14225
Erie County (716) 895-4400
DR. DANIEL CAMARA M.D.
Internal Medicine (Gastroenterology)
2625 HARLEM RD
CHEEKTOWAGA, NY 14225
Erie County (716) 895-4400
MRS. DEBRA BLAIR RPA-C
Physician Assistant
2625 HARLEM RD, SUITE 240
CHEEKTOWAGA, NY 14225
Erie County (716) 895-4400
DR. JOHN B WILES MD
Surgery
2625 HARLEM RD, STE 140
CHEEKTOWAGA, NY 14225
Erie County (716) 893-0221
PHYSICIANS MRI, LLP
Clinic/Center (Magnetic Resonance Imaging (MRI))
2625 HARLEM RD
CHEEKTOWAGA, NY 14225
Erie County (716) 897-2207
MRS. CONSTANCE M CAMPANELLA FNP
Nurse Practitioner
2625 HARLEM RD, SUITE 240
CHEEKTOWAGA, NY 14225
Erie County (716) 895-4400
CENTURY AIRPORT PEDIATRICS P.C.
Pediatrics
2625 HARLEM RD, SUITE 210
CHEEKTOWAGA, NY 14225
Erie County (716) 893-7337
EUGENE J KALMUK MD PC
Internal Medicine
2625 HARLEM RD, SUITE 261
CHEEKTOWAGA, NY 14225
Erie County (716) 893-4797
GREATER BUFFALO SPINE CARE P.C.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2625 HARLEM RD, SUITE 160
CHEEKTOWAGA, NY 14225
Erie County (716) 891-0818
JAMIE L KOBAN PNP
Nurse Practitioner (Pediatrics)
2625 HARLEM RD, SUITE 210
CHEEKTOWAGA, NY 14225
Erie County (716) 893-7337
DANG TUAN PHAM MD
Surgery
2625 HARLEM RD, SUITE 160
BUFFALO, NY 14225
Erie County (716) 893-0333
JOSEPH DIPIRRO M.D.
Internal Medicine
2625 HARLEM RD, SUITE 180
CHEEKTOWAGA, NY 14225
Erie County (716) 893-4797
BUFFALO MINIMALLY INVASIVE WEIGHT LOSS SURGICAL SOLUTIONS, PLLC
Surgery
2625 HARLEM RD, SUITE 160
CHEEKTOWAGA, NY 14225
Erie County (716) 893-0333
CCS ONCOLOGY PC
Family Medicine
2625 HARLEM RD, SUITE 261
CHEEKTOWAGA, NY 14225
Erie County (716) 218-3887
PEDIATRIC PSYCHOLOGY & MEDICINE OF WESTERN NEW YORK, PLLC
Pediatrics (Developmental - Behavioral Pediatrics)
2625 HARLEM RD, SUITE 205
CHEEKTOWAGA, NY 14225
Erie County (716) 837-3415
EUGENE JAMES KALMUK JR. MD
Internal Medicine
2625 HARLEM RD, SUITE 180
CHEEKTOWAGA, NY 14225
Erie County (716) 893-4797
ELENA KATHERINE WALKER PNP
Nurse Practitioner (Pediatrics)
2625 HARLEM RD, SUITE 210
CHEEKTOWAGA, NY 14225
Erie County (716) 893-7337
JENNIFER ROLLER M.D.
Pediatrics
2625 HARLEM RD, SUITE 210
CHEEKTOWAGA, NY 14225
Erie County (716) 893-7337
MRS. KRISTIN CONNORS NP
Nurse Practitioner (Adult Health)
2625 HARLEM RD
CHEEKTOWAGA, NY 14225
Erie County (716) 891-2570
ANTHONY T. VETRANO M.D.
Pediatrics
2625 HARLEM RD, SUITE 210
CHEEKTOWAGA, NY 14225
Erie County (716) 893-7337

Frequently Asked Questions

What is FOUR SEASONS MEDICAL OF WNY PC's NPI number?

The NPI number assigned to this healthcare provider is 1427592195, enumerated as an "organization" on December 14, 2016.

Where is the provider located?

The provider is located at 2625 HARLEM RD STE 70 CHEEKTOWAGA, NY 14225 and the phone number is (716) 462-5552.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.