OrganizationActive
Brummitte Dale Wilson MD & Associates
NPI 1457404097 · Procedural Dermatology Physician · Hamburg, NY
Provider details
- NPI number
- 1457404097
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brummitte Wilson, MD(716) 648-2770
- License
- 134469 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17 Long Ave Ste 200
Hamburg, NY 14075-6200
Phone: (716) 648-2770
Fax: (716) 646-4642
Approximate (ZIP-level) locationGet directions
Mailing address
17 Long Ave Ste 200
Hamburg, NY 14075-6200
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.