Mr Eric A Birken, MD | |
229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 | |
(585) 394-8800 | |
(585) 394-5942 |
Full Name | Mr Eric A Birken |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 229 Parrish St, Canandaigua, 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 |
---|---|---|---|
1053335026 | NPI | - | NPPES |
00456482 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 103908 (New York) | Primary |
Entity Name | Lakeside Ent & Allergy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841211836 PECOS PAC ID: 3577556190 Enrollment ID: O20040407001250 |
Mailing Address | Practice Location Address |
---|---|
Mr Eric A Birken, MD 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 Ph: (585) 394-8800 | Mr Eric A Birken, MD 229 Parrish St, Suite 250, Canandaigua, NY 14424-1795 Ph: (585) 394-8800 |
Mr. Srinivas R Kaza, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 229 Parrish St, Suite 250, Canandaigua, NY 14424 Phone: 585-394-8800 Fax: 585-394-5942 | |
Mr. Jay A Yates, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 229 Parrish St, Suite 250, Canandaigua, NY 14424 Phone: 585-394-8800 Fax: 585-394-5942 |