| Eastern Niagara Medical Group | |
|
53 Elizabeth Dr Lockport NY 14094-5226 | |
| (716) 514-5501 | |
| (716) 514-5549 |
| Full Name | Eastern Niagara Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 53 Elizabeth Dr, Lockport, New York |
| Authorized Official Name and Position | Michael Francis Ickowski (CFO) |
| Authorized Official Contact | 7165145501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Niagara Medical Group 521 East Ave Lockport NY 14094-3201 Ph: (716) 514-5501 | Eastern Niagara Medical Group 53 Elizabeth Dr Lockport NY 14094-5226 Ph: (716) 514-5501 |
| NPI Number | 1346796398 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346796398 | NPI | - | NPPES |
| 00354389 | Medicaid | NY | |
| 3101000H | Other | NY | LICENSE NUMBER - OPERATING CERTIFICATE |
Shaymal Mozumdar M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Davison Ct, Lockport, NY 14094 Phone: 716-433-7921 | |
Community Pediatrics Of Wny, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 Davison Rd, Lockport, NY 14094 Phone: 716-433-6666 Fax: 716-524-6736 | |
Eaton Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Bewley Building, Lockport, NY 14094 Phone: 716-433-6936 Fax: 716-433-6938 | |
Greater Niagara Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5879 Snyder Dr, Lockport, NY 14094 Phone: 716-433-8751 Fax: 716-433-8792 | |
Frederick J Piwko Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3976 Lockport Olcott Rd, Suite C, Lockport, NY 14094 Phone: 716-439-4248 Fax: 716-439-4838 | |
Nicholas Varallo Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 Davison Road, Lockport, NY 14094 Phone: 716-433-5454 Fax: 716-478-0488 | |
Crystal Springs Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6101 Robinson Rd, Lockport, NY 14094 Phone: 716-625-9851 Fax: 716-625-9858 |