East Aurora Family Practice,llp | |
112 Olean St Suite 220 East Aurora NY 14052-2540 | |
(716) 805-1072 | |
Not Available |
Full Name | East Aurora Family Practice,llp |
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Speciality | Family Medicine |
Location | 112 Olean St, East Aurora, New York |
Authorized Official Name and Position | David Lawton (PRESIDENT) |
Authorized Official Contact | 7168051072 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Aurora Family Practice,llp 112 Olean St Suite 220 East Aurora NY 14052-2540 Ph: (716) 805-1072 | East Aurora Family Practice,llp 112 Olean St Suite 220 East Aurora NY 14052-2540 Ph: (716) 805-1072 |
NPI Number | 1801853320 |
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Provider Enumeration Date | 04/27/2006 |
Last Update Date | 05/01/2008 |
Medicare PECOS PAC ID | 5496733404 |
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Medicare Enrollment ID | O20040707001354 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801853320 | NPI | - | NPPES |
4651030001 | Other | DME MEDICARE | |
CK7008 | Other | RAILROAD MEDICARE | |
02333897 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Paula H Zagrobelny |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164496717 PECOS PAC ID: 2961475363 Enrollment ID: I20040814000005 |
Provider Name | Shawn E Cotton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003880113 PECOS PAC ID: 9436193133 Enrollment ID: I20050614000575 |
Provider Name | David A Lawton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194799494 PECOS PAC ID: 3072591098 Enrollment ID: I20101104000708 |
Provider Name | Kevin C Mcmahon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528032695 PECOS PAC ID: 3971797713 Enrollment ID: I20101105000077 |
Provider Name | Elizabeth A Weingarten |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508820242 PECOS PAC ID: 4385660620 Enrollment ID: I20110425000009 |
Provider Name | Martha E Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487953394 PECOS PAC ID: 1153508304 Enrollment ID: I20110615000732 |
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