Damian Lee Ternullo, MD | |
107 Institute St, Jamestown, NY 14701-6628 | |
(716) 484-4334 | |
Not Available |
Full Name | Damian Lee Ternullo |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 107 Institute St, Jamestown, 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 |
---|---|---|---|
1538141080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD431647 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 319849 (New York) | Primary |
Entity Name | St Clair Professional Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427270594 PECOS PAC ID: 4284672742 Enrollment ID: O20050425000590 |
Mailing Address | Practice Location Address |
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Damian Lee Ternullo, MD 107 Institute St # Na, Jamestown, NY 14701-6628 Ph: (716) 484-4334 | Damian Lee Ternullo, MD 107 Institute St, Jamestown, NY 14701-6628 Ph: (716) 484-4334 |
Dr. Paul Gordon Henry Robbins, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 107 Institute St, Jamestown, NY 14701 Phone: 716-484-4334 Fax: 833-974-2031 | |
Carrie Rowan, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 816 Fairmount Ave, Jamestown, NY 14701 Phone: 716-664-2589 Fax: 716-483-3050 | |
Billy Toms, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 816 Fairmount Ave, Jamestown, NY 14701 Phone: 716-664-2589 Fax: 716-483-3050 | |
Virginia Campion, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 816 Fairmount Ave, Jamestown, NY 14701 Phone: 716-664-2589 Fax: 716-483-3050 | |
Lynn Dunham, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 816 Fairmount Ave, Jamestown, NY 14701 Phone: 716-664-2589 Fax: 716-483-3050 | |
Barbara J Robinson, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 816 Fairmount Ave, Jamestown, NY 14701 Phone: 716-664-2589 Fax: 716-483-3050 | |
Jerzy Przygodzki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 816 Fairmount Ave, Jamestown, NY 14701 Phone: 716-664-2589 Fax: 716-483-3050 |