Healthcare Provider Details

I. General information

NPI: 1366190852
Provider Name (Legal Business Name): FOCUS SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 WEHRLE DR STE 300
WILLIAMSVILLE NY
14221-7099
US

IV. Provider business mailing address

2150 WEHRLE DR STE 300
WILLIAMSVILLE NY
14221-7099
US

V. Phone/Fax

Practice location:
  • Phone: 716-453-5200
  • Fax: 716-710-8075
Mailing address:
  • Phone: 716-453-5200
  • Fax: 716-710-8075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EYAD WOHAIBI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 716-453-5200