| Adult Medical Services, P.c. | |
|
6645 Main Street Suite A Williamsville NY 14221 | |
| (716) 276-8726 | |
| (716) 276-8730 |
| Full Name | Adult Medical Services, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6645 Main Street, Williamsville, New York |
| Authorized Official Name and Position | Sameer Shamoon Mamnoon (PRESIDENT) |
| Authorized Official Contact | 7162768726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Medical Services, P.c. 6645 Main Street Suite A Williamsville NY 14221 Ph: (716) 276-8726 | Adult Medical Services, P.c. 6645 Main Street Suite A Williamsville NY 14221 Ph: (716) 276-8726 |
| NPI Number | 1346315074 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 05/21/2013 |
| Medicare PECOS PAC ID | 3173579547 |
|---|---|
| Medicare Enrollment ID | O20050329000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346315074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sameer S Mamnoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881663144 PECOS PAC ID: 9133021207 Enrollment ID: I20040121000471 |
| Provider Name | Hassan M Fares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083790430 PECOS PAC ID: 0840397402 Enrollment ID: I20070517000059 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
| Provider Name | Nabila F Azam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982834859 PECOS PAC ID: 8022269380 Enrollment ID: I20181115000236 |
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