| Upmc Chautauqua At Wca | |
|
207 Foote Ave Jamestown NY 14701-7077 | |
| (716) 487-0141 | |
| Not Available |
| Full Name | Upmc Chautauqua At Wca |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 207 Foote Ave, Jamestown, New York |
| Authorized Official Name and Position | Bradley Nelson Dinger (CFO) |
| Authorized Official Contact | 8148773739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upmc Chautauqua At Wca Po Box 840 207 Foote Ave. Jamestown NY 14702-0840 Ph: (716) 485-7892 | Upmc Chautauqua At Wca 207 Foote Ave Jamestown NY 14701-7077 Ph: (716) 487-0141 |
| NPI Number | 1386725182 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 01/27/2020 |
| Certification Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386725182 | NPI | - | NPPES |
| 03169151 | Medicaid | NY |
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