| Gregory T Jehrio Md Llc | |
|
393 Davison Rd Suite A Lockport NY 14094-4004 | |
| (716) 493-0202 | |
| Not Available |
| Full Name | Gregory T Jehrio Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 393 Davison Rd, Lockport, New York |
| Authorized Official Name and Position | Gregory Thomas Jehrio (PRESIDENT) |
| Authorized Official Contact | 7164390202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory T Jehrio Md Llc 393 Davison Rd Suite A Lockport NY 14094-4004 Ph: (716) 493-0202 | Gregory T Jehrio Md Llc 393 Davison Rd Suite A Lockport NY 14094-4004 Ph: (716) 493-0202 |
| NPI Number | 1942684881 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 07/09/2015 |
| Medicare PECOS PAC ID | 8628387453 |
|---|---|
| Medicare Enrollment ID | O20151019001509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942684881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 201352 (New York) | Primary |
| Provider Name | Gregory T Jehrio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033193339 PECOS PAC ID: 1759488224 Enrollment ID: I20070517000226 |
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