Canalside Primary Care Pc | |
43 Niagara St North Tonawanda NY 14120-6115 | |
(716) 690-2001 | |
(716) 690-2239 |
Full Name | Canalside Primary Care Pc |
---|---|
Speciality | Family Medicine |
Location | 43 Niagara St, North Tonawanda, New York |
Authorized Official Name and Position | Lynne Susan Ross (OWNER) |
Authorized Official Contact | 7166902001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Canalside Primary Care Pc 908 Niagara Falls Blvd Ste 208 North Tonawanda NY 14120-2019 Ph: (716) 692-3302 | Canalside Primary Care Pc 43 Niagara St North Tonawanda NY 14120-6115 Ph: (716) 690-2001 |
NPI Number | 1174651046 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 12/26/2019 |
Medicare PECOS PAC ID | 0840381984 |
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Medicare Enrollment ID | O20070803000477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174651046 | NPI | - | NPPES |
02494544 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 229399 (New York) | Primary |
Provider Name | Lynne S Ross |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154388049 PECOS PAC ID: 5395704852 Enrollment ID: I20041008001004 |
Matthew A. Bennett Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 River Rd, Suite #1, North Tonawanda, NY 14120 Phone: 716-332-2300 Fax: 716-332-2280 | |
Wny Primary Care Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Tremont St, North Tonawanda, NY 14120 Phone: 716-690-2291 Fax: 716-690-2369 | |
River Park Family Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 River Rd, Suite 1, North Tonawanda, NY 14120 Phone: 716-693-2464 Fax: 716-693-9022 | |
Chad E Szymanski Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 Wheatfield St Ste 15, North Tonawanda, NY 14120 Phone: 716-839-8000 | |
Arvind K. Wadhwa M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 Division St, North Tonawanda, NY 14120 Phone: 716-693-3344 Fax: 716-693-2448 | |
Ghous A Yasin Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Division St, North Tonawanda, NY 14120 Phone: 716-260-1159 Fax: 716-260-1262 |