Buffalo Internist & Associates Llc | |
462 Grider St Buffalo NY 14215-3021 | |
(716) 898-3000 | |
(716) 213-0935 |
Full Name | Buffalo Internist & Associates Llc |
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Speciality | Internal Medicine |
Location | 462 Grider St, Buffalo, New York |
Authorized Official Name and Position | Ravi Kumar Desai (MEMBER) |
Authorized Official Contact | 7168271616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Buffalo Internist & Associates Llc 908 Niagara Falls Blvd Ste 208 N Tonawanda NY 14120-2019 Ph: (716) 692-2160 | Buffalo Internist & Associates Llc 462 Grider St Buffalo NY 14215-3021 Ph: (716) 898-3000 |
NPI Number | 1134381031 |
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Provider Enumeration Date | 07/01/2008 |
Last Update Date | 07/01/2008 |
Medicare PECOS PAC ID | 7416016951 |
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Medicare Enrollment ID | O20081112000611 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134381031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mohammad A Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033183231 PECOS PAC ID: 1153308176 Enrollment ID: I20040707000517 |
Provider Name | Ravi K Desai |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1407810948 PECOS PAC ID: 2466423603 Enrollment ID: I20040803000286 |
Provider Name | Kimberly F Fedkiw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447289236 PECOS PAC ID: 9335170463 Enrollment ID: I20050829000135 |
Provider Name | Christopher Zent |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942368089 PECOS PAC ID: 6204840556 Enrollment ID: I20060126000146 |
Provider Name | Eileen B Purcell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831242973 PECOS PAC ID: 5395836621 Enrollment ID: I20070801000162 |
Provider Name | Robert C Gibson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679777676 PECOS PAC ID: 9931298940 Enrollment ID: I20071128000682 |
Provider Name | Daniel S Brockman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144434762 PECOS PAC ID: 0547361461 Enrollment ID: I20080808000111 |
Provider Name | Sergio J Anillo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295700094 PECOS PAC ID: 9133115504 Enrollment ID: I20081120000336 |
Provider Name | Edward Ventresca |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154395648 PECOS PAC ID: 9931164506 Enrollment ID: I20090616000012 |
Provider Name | Joseph M Rasnick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881887537 PECOS PAC ID: 3870649270 Enrollment ID: I20090930000389 |
Provider Name | Muhammad Ilyas Achakzai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861624694 PECOS PAC ID: 7113043993 Enrollment ID: I20100929001051 |
Provider Name | Marcella Zynda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083900054 PECOS PAC ID: 4082834130 Enrollment ID: I20141013001602 |
Provider Name | Casey J Cole |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306255062 PECOS PAC ID: 5799907176 Enrollment ID: I20141120000128 |
Provider Name | Candice P Lyke-frazier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528492394 PECOS PAC ID: 1951620608 Enrollment ID: I20150501000825 |
Provider Name | Marc J Siebert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932536240 PECOS PAC ID: 3577879204 Enrollment ID: I20150826001042 |
Provider Name | Chelsey L Cantie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033536271 PECOS PAC ID: 2961718903 Enrollment ID: I20150904001663 |
Provider Name | Aaron E Pack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598042079 PECOS PAC ID: 2860652708 Enrollment ID: I20160427001301 |
Provider Name | Laura E Ciraolo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134599012 PECOS PAC ID: 9537458385 Enrollment ID: I20160517002220 |
Provider Name | Jennifer Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942545645 PECOS PAC ID: 2062702871 Enrollment ID: I20160607002266 |
Provider Name | Mary E Eustace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649622432 PECOS PAC ID: 3779871975 Enrollment ID: I20161004000262 |
Provider Name | Faith K Wayne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851844476 PECOS PAC ID: 1951689769 Enrollment ID: I20161031000120 |
Provider Name | Tracy Myers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154876555 PECOS PAC ID: 2365725058 Enrollment ID: I20170202001764 |
Provider Name | Wendy Sherita Kye |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124579180 PECOS PAC ID: 6002192010 Enrollment ID: I20170405001729 |
Provider Name | Melissa Ann Bryson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093164725 PECOS PAC ID: 8325327018 Enrollment ID: I20171031000505 |
Provider Name | Lucas J Speak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750890919 PECOS PAC ID: 8022375807 Enrollment ID: I20171204000776 |
Provider Name | Melissa J Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518487487 PECOS PAC ID: 9436417862 Enrollment ID: I20171213000298 |
Provider Name | Sarah A Wren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396267183 PECOS PAC ID: 1850652488 Enrollment ID: I20180222002206 |
Provider Name | Destiny S Ciemny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356809263 PECOS PAC ID: 3971836370 Enrollment ID: I20190617001558 |
Provider Name | Jason M Heim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386100675 PECOS PAC ID: 0749515286 Enrollment ID: I20190705000585 |
Provider Name | Samantha R Ridolfi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114485943 PECOS PAC ID: 1456686898 Enrollment ID: I20190708002596 |
Provider Name | Amy L Stephenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538628102 PECOS PAC ID: 6204262991 Enrollment ID: I20200128001434 |
Provider Name | Sarah A Sporski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720628613 PECOS PAC ID: 0648698522 Enrollment ID: I20200909000864 |
Provider Name | Jenna Elizabeth Nassar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396355095 PECOS PAC ID: 7810307451 Enrollment ID: I20201110000965 |
Provider Name | Alexander A Rotolo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659966471 PECOS PAC ID: 9830594027 Enrollment ID: I20210826001153 |
Buffalo Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Genesee St, Buffalo, NY 14211 Phone: 716-895-2200 Fax: 716-895-3300 | |
Jeremiah O Sullivan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2218 Main St, Buffalo, NY 14214 Phone: 716-834-4141 Fax: 716-838-5840 | |
Greater Buffalo United Accountable Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Niagara St, Buffalo, NY 14201 Phone: 716-882-0366 Fax: 716-830-4840 | |
Buffalo Psychiatric Center Act Team Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Building 51 A Area, Buffalo, NY 14213 Phone: 716-885-2261 | |
Winston G Douglas Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Wehrle Dr, Buffalo, NY 14225 Phone: 716-884-8033 Fax: 716-342-2523 | |
Carewell Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-830-5453 Fax: 716-332-3525 | |
Nutrition With Noelle P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Sheridan Dr, Buffalo, NY 14223 Phone: 716-417-6388 |