June Marie Telaak, NP | |
15 Melroy Ave, Lackawanna, NY 14218-1626 | |
(716) 549-4724 | |
(716) 821-0568 |
Full Name | June Marie Telaak |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 15 Melroy Ave, Lackawanna, 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 |
---|---|---|---|
1619910718 | NPI | - | NPPES |
00026501304 | Other | NY | UNIVERA |
000560258006 | Other | NY | BLUE CROSS BLUE SHIELD |
02074257 | Medicaid | NY | |
9511891 | Other | IHA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F331367 (New York) | Primary |
Entity Name | Anthony J Buscaglia |
---|---|
Entity Type | Practitioner - Pulmonary Disease |
Entity Identifiers | NPI Number: 1265579536 PECOS PAC ID: 9133152218 Enrollment ID: I20050919000372 |
Entity Name | Trinity Medical Wny Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295043149 PECOS PAC ID: 5193907517 Enrollment ID: O20110307000596 |
Mailing Address | Practice Location Address |
---|---|
June Marie Telaak, NP 1344 Mckinley Pkwy, Lackawanna, NY 14218-1643 Ph: (716) 649-0887 | June Marie Telaak, NP 15 Melroy Ave, Lackawanna, NY 14218-1626 Ph: (716) 549-4724 |
Mary Ellen Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Southpark Avenue, Lackawanna, NY 14218 Phone: 716-822-2028 Fax: 716-822-2029 | |
Katie Cauley, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9500 | |
Lynnda Ohara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 227 Ridge Rd, Lackawanna, NY 14218 Phone: 716-822-5944 Fax: 716-828-3937 | |
Gina Fulater, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Melroy Ave, Lackawanna, NY 14218 Phone: 716-675-9724 | |
Yasmin Saif, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Goodrich Rd, Lackawanna, NY 14218 Phone: 716-228-2290 |