MEDICARE: PREFERRED PHYSICIAN CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	207Q00000X	Family Medicine Physician	172763	NY
4	207R00000X	Internal Medicine Physician	172763	NY

General Provider Information

NPI Number	:	1811266786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED PHYSICIAN CARE PC

Provider Business Mailing Address
First Line	:	30 N UNION RD STE 101
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-5367
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 N UNION RD STE 101
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-5367
Country	:	US
Telephone Number	:	716-710-7807
Fax Number	:

Authorized Official
Title or Position	:	SOLE DIRECTOR/SOLE SHARE HOLDER
Name	:	DR. SAMUEL CLOUD
Credential	:	DO
Telephone Number	:	716-898-5888

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	04/13/2026

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Directions to “PREFERRED PHYSICIAN CARE PC ” Practice Location

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