| Medical Associates Of Erie | |
|
537 W 18th St Erie PA 16502-1722 | |
| (814) 456-1009 | |
| (814) 454-6051 |
| Full Name | Medical Associates Of Erie |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 537 W 18th St, Erie, Pennsylvania |
| Authorized Official Name and Position | Nicole Grossi (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8148682507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Erie 1 Lecom Pl Erie PA 16505-2571 Ph: (814) 868-2507 | Medical Associates Of Erie 537 W 18th St Erie PA 16502-1722 Ph: (814) 456-1009 |
| NPI Number | 1861025058 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 02/17/2020 |
| Certification Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861025058 | NPI | - | NPPES |
| 1010664580029 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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