| Western New York Med-psych Pllc | |
|
476 Canisteo St Hornell NY 14843-9768 | |
| (607) 324-3580 | |
| (607) 324-3998 |
| Full Name | Western New York Med-psych Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 476 Canisteo St, Hornell, New York |
| Authorized Official Name and Position | Sampath Neerukonda (M.D.) |
| Authorized Official Contact | 6073241263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western New York Med-psych Pllc 111 E 14th St Elmira Heights NY 14903-1303 Ph: (607) 734-9539 | Western New York Med-psych Pllc 476 Canisteo St Hornell NY 14843-9768 Ph: (607) 324-3580 |
| NPI Number | 1891706743 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 03/26/2009 |
| Medicare PECOS PAC ID | 3072536853 |
|---|---|
| Medicare Enrollment ID | O20060106000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891706743 | NPI | - | NPPES |
| 01488462 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sampath K Neerukonda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801842919 PECOS PAC ID: 6901792126 Enrollment ID: I20051007000681 |
| Provider Name | Nancy L Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386795466 PECOS PAC ID: 8820134588 Enrollment ID: I20091009000303 |
| Provider Name | Sonya E Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871766246 PECOS PAC ID: 0749439057 Enrollment ID: I20121002000316 |
| Provider Name | Diane M Scagliola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942587365 PECOS PAC ID: 2961712088 Enrollment ID: I20151102001878 |
| Provider Name | Maria R Macapinlac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915290 PECOS PAC ID: 5092144097 Enrollment ID: I20200326000426 |
| Provider Name | Gwinnette R Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124638671 PECOS PAC ID: 0143640896 Enrollment ID: I20201019000568 |
Milestone Psychiatric & Psychological Services P C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Main St, Suite # 102, Hornell, NY 14843 Phone: 607-324-9240 | |
Pathways, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 Bald Hill Rd, Boces Wildwood Campus, Hornell, NY 14843 Phone: 607-769-2008 | |
St James Mercy Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Canisteo St, Hornell, NY 14843 Phone: 607-324-8000 Fax: 607-324-8198 | |
Ma Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 303 Seneca Rd Ste C, Hornell, NY 14843 Phone: 646-662-4049 |