Organization · Type 2 NPI

Mind Body Medicine of Buffalo P.c.

Family Medicine Physician · Williamsville, NY

NPI number 1063321719 Active

Practice location

5820 Main St Ste 303
Williamsville, NY 14221-5734

Mailing address

PO Box 831
Grand Island, NY 14072-0831

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XNone listed
Psychiatry Physician 2084P0800XNone listed
Addiction Psychiatry Physician 2084P0802XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1063321719

Mind Body Medicine of Buffalo P.c.'s National Provider Identifier is 1063321719, issued on Sep 7, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Williamsville, NY. The record was last updated on Sep 7, 2026.