Family Choice Of New York Medical Pc | |
3332 Walden Ave Suite 110 Depew NY 14043 | |
(716) 668-7051 | |
(716) 668-7069 |
Full Name | Family Choice Of New York Medical Pc |
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Speciality | General Practice |
Location | 3332 Walden Ave, Depew, New York |
Authorized Official Name and Position | Stephen Evans (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 7166687051 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Choice Of New York Medical Pc 3332 Walden Ave Suite 110 Depew NY 14043 Ph: (716) 668-7051 | Family Choice Of New York Medical Pc 3332 Walden Ave Suite 110 Depew NY 14043 Ph: (716) 668-7051 |
NPI Number | 1720312754 |
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Provider Enumeration Date | 09/23/2009 |
Last Update Date | 06/07/2016 |
Medicare PECOS PAC ID | 1355615477 |
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Medicare Enrollment ID | O20170927003380 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720312754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (New York) | Primary |
Provider Name | Stephen J Evans |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730172776 PECOS PAC ID: 5496646341 Enrollment ID: I20040504000423 |
Provider Name | Beverly Anne Seib |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164600144 PECOS PAC ID: 3678598414 Enrollment ID: I20051011000156 |
Provider Name | Caitlin M Lafferty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407847007 PECOS PAC ID: 4688689284 Enrollment ID: I20060221000357 |
Provider Name | Kathleen Ziomek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013974070 PECOS PAC ID: 9739283821 Enrollment ID: I20070329000338 |
Provider Name | Kenneth A Garbarino |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1629046081 PECOS PAC ID: 2062599038 Enrollment ID: I20080402000123 |
Provider Name | Jacquelyn Anne Botticelli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356349740 PECOS PAC ID: 9931153525 Enrollment ID: I20090128000517 |
Provider Name | Kevin Hennessy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023163813 PECOS PAC ID: 9931382207 Enrollment ID: I20110323000877 |
Provider Name | Elizabeth A Leiser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144576265 PECOS PAC ID: 1355586967 Enrollment ID: I20130403000223 |
Provider Name | Shannon D Marzullo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215250279 PECOS PAC ID: 0749423010 Enrollment ID: I20130905000727 |
Provider Name | Dawn M Sacks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427493741 PECOS PAC ID: 9032334594 Enrollment ID: I20140626000275 |
Provider Name | Mary G Distefano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710328968 PECOS PAC ID: 1153645650 Enrollment ID: I20150109000788 |
Provider Name | Cindy R Herberger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780967901 PECOS PAC ID: 4587978440 Enrollment ID: I20150805008701 |
Provider Name | Karen Hay Binis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821158866 PECOS PAC ID: 5799065207 Enrollment ID: I20170928000030 |
Provider Name | Glenda Gail Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831321140 PECOS PAC ID: 1254611502 Enrollment ID: I20170928001264 |
Provider Name | Nicole Amanda Seitaj |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902306491 PECOS PAC ID: 6608139688 Enrollment ID: I20180405000664 |
Provider Name | Haijun Yao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972135374 PECOS PAC ID: 4284063884 Enrollment ID: I20200402001617 |
Provider Name | Chelsea L Ballard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861196677 PECOS PAC ID: 0446611875 Enrollment ID: I20230802001412 |
Provider Name | Olivia C Battista |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760162507 PECOS PAC ID: 0345604914 Enrollment ID: I20230914003381 |
Provider Name | Christina Alfreda Meyers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326721408 PECOS PAC ID: 6709230006 Enrollment ID: I20230920001652 |
Paradigm Family Health Np Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4721 Transit Rd Ste B, Depew, NY 14043 Phone: 716-324-5255 | |
Sadiqa Karim, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6343 Transit Rd, Depew, NY 14043 Phone: 716-683-5600 | |
Five Star Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5007 Transit Rd, Depew, NY 14043 Phone: 716-650-5516 Fax: 716-650-5515 |