Healthcare Provider Details

I. General information

NPI: 1841648011
Provider Name (Legal Business Name): INFINITY MEDICAL GROUP P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2016
Last Update Date: 05/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 NORTHPOINTE PKWY SUITE 50
AMHERST NY
14228-1895
US

IV. Provider business mailing address

10 MEADOWBROOK DR
ELMA NY
14059-9524
US

V. Phone/Fax

Practice location:
  • Phone: 716-834-1191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN P PATTI JR.
Title or Position: PARTNER
Credential:
Phone: 716-834-1191