| Amandeep Pal Md Pllc | |
|
6334 Robinson Rd Lockport NY 14094 | |
| (716) 795-0077 | |
| (716) 795-0088 |
| Full Name | Amandeep Pal Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6334 Robinson Rd, Lockport, New York |
| Authorized Official Name and Position | Amandeep Pal (PRESIDENT) |
| Authorized Official Contact | 7167950077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amandeep Pal Md Pllc 6334 Robinson Rd Lockport NY 14094 Ph: (716) 795-0077 | Amandeep Pal Md Pllc 6334 Robinson Rd Lockport NY 14094 Ph: (716) 795-0077 |
| NPI Number | 1801291307 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 06/29/2020 |
| Medicare PECOS PAC ID | 1254655293 |
|---|---|
| Medicare Enrollment ID | O20150121001567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801291307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 253554-1 (New York) | Primary |
| Provider Name | Amandeep Pal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467694703 PECOS PAC ID: 4183757701 Enrollment ID: I20100803001224 |
| Provider Name | Jasmeet Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275702300 PECOS PAC ID: 0446446363 Enrollment ID: I20101118000010 |
| Provider Name | Laraine Marie Wende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424472 PECOS PAC ID: 4183891591 Enrollment ID: I20120125000266 |
| Provider Name | Elisabeth Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376834085 PECOS PAC ID: 4284803511 Enrollment ID: I20170505000380 |
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