Healthcare Provider Details

I. General information

NPI: 1205644531
Provider Name (Legal Business Name): FOCUS PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2099 NIAGARA FALLS BLVD
AMHERST NY
14228-3518
US

IV. Provider business mailing address

2150 WEHRLE DR STE 400
WILLIAMSVILLE NY
14221-7099
US

V. Phone/Fax

Practice location:
  • Phone: 716-899-4300
  • Fax: 716-899-3300
Mailing address:
  • Phone: 716-580-7208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. GREGORY FRANK DANIEL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 716-580-7208