| Eastview Family Practice Pc | |
|
294 East Avenue Lockport NY 14094 | |
| (716) 433-0554 | |
| (716) 433-0579 |
| Full Name | Eastview Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 294 East Avenue, Lockport, New York |
| Authorized Official Name and Position | Mirza M Beg (MD) |
| Authorized Official Contact | 7164330554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastview Family Practice Pc Po Box 1181 Lockport NY 14095 Ph: (716) 433-0554 | Eastview Family Practice Pc 294 East Avenue Lockport NY 14094 Ph: (716) 433-0554 |
| NPI Number | 1609959543 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486811783 |
|---|---|
| Medicare Enrollment ID | O20120127000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609959543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mirza Beg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710911268 PECOS PAC ID: 7315837838 Enrollment ID: I20040318000469 |
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