| Eaton Medicine Pc | |
|
501 Bewley Building Lockport NY 14094-2944 | |
| (716) 433-6936 | |
| (716) 433-6938 |
| Full Name | Eaton Medicine Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 501 Bewley Building, Lockport, New York |
| Authorized Official Name and Position | Molly Eaton (PRESIDENT) |
| Authorized Official Contact | 7164336936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaton Medicine Pc 501 Bewley Building Lockport NY 14094-2944 Ph: (716) 433-6936 | Eaton Medicine Pc 501 Bewley Building Lockport NY 14094-2944 Ph: (716) 433-6936 |
| NPI Number | 1073709770 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073709770 | NPI | - | NPPES |
| 02871103 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 241709 (New York) | Primary |
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