SearchNew York2255A2300X

Michael Wild, MS, ATC, PES

NPI 1710390562 · on the registry since 2014 · sole proprietor

Practice

Address
4380 Main St
Amherst, NY 14226
Phone
(716) 839-8581
Fax
(716) 566-7858
Clinicians at this address
15

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York