Dr Alan G Withiam, MD | |
1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | |
(607) 869-5609 | |
(607) 869-5303 |
Full Name | Dr Alan G Withiam |
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Gender | Male |
Speciality | Family Medicine |
Location | 1083 Waterloo Geneva Rd, Waterloo, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871650697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 155579 (New York) | Primary |
Entity Name | Finger Lakes Area Counseling And Recovery Agency, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366434011 PECOS PAC ID: 1254683766 Enrollment ID: O20181011001185 |
Mailing Address | Practice Location Address |
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Dr Alan G Withiam, MD 4314 Swamp College Rd, Trumansburg, NY 14886-9165 Ph: (607) 387-3655 | Dr Alan G Withiam, MD 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 Ph: (607) 869-5609 |
Debbie L. Heit, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 367 E Main St, Waterloo, NY 13165 Phone: 315-787-4977 | |
Dr. Agata Katarzyna Olszowska, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 367 E Main St Ste A, Waterloo, NY 13165 Phone: 315-787-4977 Fax: 315-787-4973 | |
Dr. Andrew B Reese, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 369 E Main St, Waterloo, NY 13165 Phone: 315-539-4025 Fax: 315-539-4128 |