| Eastern Niagara Neurology Pc | |
|
77 Elizabeth Dr Lockport NY 14094-5226 | |
| (716) 566-9900 | |
| (716) 296-0020 |
| Full Name | Eastern Niagara Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 77 Elizabeth Dr, Lockport, New York |
| Authorized Official Name and Position | Baljinder Singh (PHYSICIAN) |
| Authorized Official Contact | 7169096718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Niagara Neurology Pc 2372 Sweet Home Rd Ste 3 Amherst NY 14228-2330 Ph: (716) 389-3300 | Eastern Niagara Neurology Pc 77 Elizabeth Dr Lockport NY 14094-5226 Ph: (716) 566-9900 |
| NPI Number | 1326469313 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Medicare PECOS PAC ID | 8628294618 |
|---|---|
| Medicare Enrollment ID | O20140729000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326469313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 249213-2 (New York) | Primary |
| Provider Name | Baljinder Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356539415 PECOS PAC ID: 0244377745 Enrollment ID: I20091031000067 |
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