Akron Family Care | |
16 Main St Akron NY 14001-1220 | |
(716) 542-9300 | |
Not Available |
Full Name | Akron Family Care |
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Speciality | Family Medicine |
Location | 16 Main St, Akron, New York |
Authorized Official Name and Position | Shanthi Rajendran (PRESIDENT) |
Authorized Official Contact | 7165429300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Akron Family Care 187 Viscount Dr Williamsville NY 14221-1771 Ph: (716) 689-4587 | Akron Family Care 16 Main St Akron NY 14001-1220 Ph: (716) 542-9300 |
NPI Number | 1619008869 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 01/20/2015 |
Medicare PECOS PAC ID | 3577757145 |
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Medicare Enrollment ID | O20101028000501 |
Identifier | Type | State | Issuer |
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1619008869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 211182 (New York) | Primary |
Provider Name | Amy M Sisley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134319064 PECOS PAC ID: 2062592686 Enrollment ID: I20080108000511 |
Provider Name | Elizabeth A Vasquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
Provider Name | Shanthi Rajendran |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346378924 PECOS PAC ID: 1850585423 Enrollment ID: I20101028000481 |
Provider Name | Ashley Iten |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |