Provider Demographics
NPI:1841648011
Name:INFINITY MEDICAL GROUP P.C.
Entity type:Organization
Organization Name:INFINITY MEDICAL GROUP P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:PATTI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:716-834-1191
Mailing Address - Street 1:10 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-9524
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:275 NORTHPOINTE PKWY
Practice Address - Street 2:SUITE 50
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1895
Practice Address - Country:US
Practice Address - Phone:716-834-1191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-29
Last Update Date:2016-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty