Full Name | |
---|---|
Speciality | Dentist |
Location | 6900 Seneca St, Elma, New York |
Authorized Official Name and Position | Jennifer Finney (OWNER DENTIST) |
Authorized Official Contact | 7166520600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
6900 Seneca St Po Box 349 Elma NY 14059-9522 Ph: (716) 652-0600 | 6900 Seneca St Elma NY 14059-9522 Ph: (716) 652-0600 |
NPI Number | 1487016804 |
---|---|
Provider Enumeration Date | 03/24/2016 |
Last Update Date | 03/24/2016 |
Medicare PECOS PAC ID | 5799220562 |
---|---|
Medicare Enrollment ID | O20240717000109 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487016804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 057321 (New York) | Primary |