Infinity Medical Group P.c. | |
275 Northpointe Pkwy Suite 50 Amherst NY 14228-1895 | |
(716) 834-1191 | |
Not Available |
Full Name | Infinity Medical Group P.c. |
---|---|
Speciality | Internal Medicine |
Location | 275 Northpointe Pkwy, Amherst, New York |
Authorized Official Name and Position | John P Patti (PARTNER) |
Authorized Official Contact | 7168341191 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Infinity Medical Group P.c. 10 Meadowbrook Dr Elma NY 14059-9524 Ph: () - | Infinity Medical Group P.c. 275 Northpointe Pkwy Suite 50 Amherst NY 14228-1895 Ph: (716) 834-1191 |
NPI Number | 1841648011 |
---|---|
Provider Enumeration Date | 05/29/2016 |
Last Update Date | 05/29/2016 |
Medicare PECOS PAC ID | 0941598916 |
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Medicare Enrollment ID | O20161006000448 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841648011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
Provider Name | Michael D Merrill |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649205782 PECOS PAC ID: 9537158605 Enrollment ID: I20040512000701 |
Provider Name | David Kupkowski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467470211 PECOS PAC ID: 7719969880 Enrollment ID: I20040602001352 |
Provider Name | Amy W Jones |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316929086 PECOS PAC ID: 3779558176 Enrollment ID: I20040831000020 |
Provider Name | John P Patti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306894928 PECOS PAC ID: 5092764290 Enrollment ID: I20050114000143 |
Provider Name | Jennifer G Walsh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871584516 PECOS PAC ID: 7416903729 Enrollment ID: I20050329001092 |
Provider Name | Michael P Ralbovsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962479634 PECOS PAC ID: 2365482858 Enrollment ID: I20050504000272 |
Provider Name | Charles Sperrazza |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1164638227 PECOS PAC ID: 5092732578 Enrollment ID: I20051025000546 |
Provider Name | Natasha Kleiman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386696540 PECOS PAC ID: 3476573759 Enrollment ID: I20051206000160 |
Provider Name | Michael S Beecher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689672891 PECOS PAC ID: 2163444381 Enrollment ID: I20051230000356 |
Provider Name | Hanaw A Adham |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1427112291 PECOS PAC ID: 0547368730 Enrollment ID: I20070612000547 |
Provider Name | Beverly L Majewski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386739852 PECOS PAC ID: 4587763297 Enrollment ID: I20070621000064 |
Provider Name | Maureen Mccallum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811970031 PECOS PAC ID: 2668560202 Enrollment ID: I20071115000603 |
Provider Name | Sharon L Pesono |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699875229 PECOS PAC ID: 5092886606 Enrollment ID: I20080625000064 |
Provider Name | Joseph A Gualtieri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053572883 PECOS PAC ID: 3779656772 Enrollment ID: I20080724000347 |
Provider Name | Dhaliah Eckert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710142591 PECOS PAC ID: 5294895108 Enrollment ID: I20081122000062 |
Provider Name | Stacy J Neiswonger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033382809 PECOS PAC ID: 2365505575 Enrollment ID: I20090114000753 |
Provider Name | Lissa F Capuson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710175971 PECOS PAC ID: 8123184884 Enrollment ID: I20090304000355 |
Provider Name | John Yowpa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508025768 PECOS PAC ID: 8921156738 Enrollment ID: I20090508000219 |
Provider Name | Reuven Moser |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053553149 PECOS PAC ID: 0042361982 Enrollment ID: I20090706000429 |
Provider Name | Marija Radovic |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518198993 PECOS PAC ID: 2567500945 Enrollment ID: I20091104000444 |
Provider Name | Melanie Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467615591 PECOS PAC ID: 3971641952 Enrollment ID: I20091111000654 |
Provider Name | Brenda A Mrkall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205067931 PECOS PAC ID: 8820125230 Enrollment ID: I20100415000930 |
Provider Name | Therese M Caligiuri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457319899 PECOS PAC ID: 0749478980 Enrollment ID: I20110103000611 |
Provider Name | Gerald H Colern |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396057931 PECOS PAC ID: 5597954263 Enrollment ID: I20110111000716 |
Provider Name | Caitlin Briggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205009776 PECOS PAC ID: 6103009469 Enrollment ID: I20110323000755 |
Provider Name | Tajinder P Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124289558 PECOS PAC ID: 9638350259 Enrollment ID: I20111215000019 |
Provider Name | Dukhant S Multani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720219108 PECOS PAC ID: 2769648666 Enrollment ID: I20120720000591 |
Provider Name | James Cozza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821352493 PECOS PAC ID: 2062678691 Enrollment ID: I20120725000562 |
Provider Name | Raheel Ahmad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316180896 PECOS PAC ID: 1759539497 Enrollment ID: I20120921000137 |
Provider Name | Lindsey T Chappell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306181524 PECOS PAC ID: 5193960573 Enrollment ID: I20130408000379 |
Provider Name | Matthew J Rusk |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912227133 PECOS PAC ID: 1759524598 Enrollment ID: I20130827000593 |
Provider Name | Jill M Ratchuk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356787147 PECOS PAC ID: 3375777568 Enrollment ID: I20131001000192 |
Provider Name | John Laldin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467766352 PECOS PAC ID: 6709010796 Enrollment ID: I20131007000110 |
Provider Name | Matthew Plucinski |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376836346 PECOS PAC ID: 2365664265 Enrollment ID: I20141110000280 |
Provider Name | David Michael Peek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740576073 PECOS PAC ID: 5193048536 Enrollment ID: I20141216001499 |
Provider Name | Christina Parkot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366849937 PECOS PAC ID: 1153644646 Enrollment ID: I20150109000048 |
Provider Name | Amanda B Sattelberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255766630 PECOS PAC ID: 1254657620 Enrollment ID: I20150302000786 |
Provider Name | Janette Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942692892 PECOS PAC ID: 0143548313 Enrollment ID: I20150420001083 |
Provider Name | Katherine E Flower |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821360330 PECOS PAC ID: 3173835162 Enrollment ID: I20150706000534 |
Provider Name | Xika Zhao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740542299 PECOS PAC ID: 3072828284 Enrollment ID: I20150818004008 |
Provider Name | Harpartap Singh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184984908 PECOS PAC ID: 1759699010 Enrollment ID: I20151006001996 |
Provider Name | Devamohan Sivalingam |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1306197371 PECOS PAC ID: 6608177936 Enrollment ID: I20151210001939 |
Provider Name | Rachel R Ludwig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528208675 PECOS PAC ID: 3072812627 Enrollment ID: I20160503000770 |
Provider Name | Ashley N Terragnoli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598133522 PECOS PAC ID: 7517256944 Enrollment ID: I20160525000466 |
Provider Name | Barinder S Chana |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023366291 PECOS PAC ID: 6002194164 Enrollment ID: I20161025002540 |
Provider Name | Sarah Malik |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1346684768 PECOS PAC ID: 1254636590 Enrollment ID: I20161104000663 |
Provider Name | Thomas M Chamberlain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770037996 PECOS PAC ID: 6002196276 Enrollment ID: I20161205001110 |
Provider Name | Carolynn Marie Tsabai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942629696 PECOS PAC ID: 0446521363 Enrollment ID: I20170810000742 |
Provider Name | Erin I Demarco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508388588 PECOS PAC ID: 2365708500 Enrollment ID: I20171103002731 |
Provider Name | Adaora Otubelu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548554090 PECOS PAC ID: 6204081169 Enrollment ID: I20180221002924 |
Provider Name | Ashleigh S Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861822330 PECOS PAC ID: 6002178183 Enrollment ID: I20180330000228 |
Provider Name | Tanvir Shagar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144722042 PECOS PAC ID: 3577826395 Enrollment ID: I20180409002302 |
Provider Name | Janine E Wanamaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073005591 PECOS PAC ID: 9537416540 Enrollment ID: I20180723001882 |
Provider Name | Kelsey Aileen Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245725860 PECOS PAC ID: 8123377512 Enrollment ID: I20180817001866 |
Provider Name | Rachel E Showers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982182077 PECOS PAC ID: 7214288042 Enrollment ID: I20180918002706 |
Provider Name | Matthew Pinto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033506845 PECOS PAC ID: 1254652381 Enrollment ID: I20180925003357 |
Provider Name | Hollyanne Bly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942787098 PECOS PAC ID: 8628329869 Enrollment ID: I20180926003108 |
Provider Name | Harleen Singh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740692086 PECOS PAC ID: 5597016659 Enrollment ID: I20180928001902 |
Provider Name | Chelsea E Lukaszonas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336629955 PECOS PAC ID: 5092069088 Enrollment ID: I20181109001101 |
Provider Name | Eric I Bartz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528543329 PECOS PAC ID: 2163767500 Enrollment ID: I20181213000627 |
Provider Name | Megan K Heimerl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144716333 PECOS PAC ID: 2860738820 Enrollment ID: I20190111001088 |
Provider Name | David Tse |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720462484 PECOS PAC ID: 6800133760 Enrollment ID: I20190130002089 |
Provider Name | Piava Rioli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679037329 PECOS PAC ID: 0941548770 Enrollment ID: I20190220002201 |
Provider Name | Kelly Kaempf |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366839086 PECOS PAC ID: 1850638214 Enrollment ID: I20190719001677 |
Provider Name | Luay Dawood |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740663871 PECOS PAC ID: 3072805332 Enrollment ID: I20190823000304 |
Provider Name | Ravi Sahni |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215483581 PECOS PAC ID: 4789016296 Enrollment ID: I20191120002966 |
Provider Name | Anderson Lai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003327321 PECOS PAC ID: 1254763709 Enrollment ID: I20191121001181 |
Provider Name | Amy L Stephenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538628102 PECOS PAC ID: 6204262991 Enrollment ID: I20200128001434 |
Provider Name | Dane Counts |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1801288956 PECOS PAC ID: 7719281021 Enrollment ID: I20200514002633 |
Provider Name | Frank Freund |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609304872 PECOS PAC ID: 2466722004 Enrollment ID: I20200916002695 |
Provider Name | Amanda L Scafetta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841801537 PECOS PAC ID: 0042620015 Enrollment ID: I20201102002316 |
Provider Name | Sheena Deering |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801401765 PECOS PAC ID: 3870905458 Enrollment ID: I20201226000017 |
Provider Name | Teneika A Gravely |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679823470 PECOS PAC ID: 6800209438 Enrollment ID: I20201228002396 |
Provider Name | Cristina Cramer-mills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497351605 PECOS PAC ID: 5698180529 Enrollment ID: I20210226000708 |
Provider Name | Marja Marnell Cormack Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063808194 PECOS PAC ID: 7517374184 Enrollment ID: I20210326000216 |
Provider Name | David Michael Armstrong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962048793 PECOS PAC ID: 8820405376 Enrollment ID: I20210329001906 |
Provider Name | Sumangaly Thambiaiyah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538424205 PECOS PAC ID: 8325348675 Enrollment ID: I20210507001652 |
Provider Name | Latrina M Dubois-hornsby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609457332 PECOS PAC ID: 6608276449 Enrollment ID: I20210615002920 |
Provider Name | Abhinay Boddu Reddy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033615455 PECOS PAC ID: 5890032171 Enrollment ID: I20210721002367 |
Provider Name | Mohammad Alam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376047647 PECOS PAC ID: 6608122742 Enrollment ID: I20210813002326 |
Provider Name | Josefina Juarbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770188021 PECOS PAC ID: 0446657860 Enrollment ID: I20210927002472 |
Provider Name | Jeannette A Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538707104 PECOS PAC ID: 2668879941 Enrollment ID: I20210929002191 |
Provider Name | Nicole Ashley Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780340356 PECOS PAC ID: 8224429287 Enrollment ID: I20211229002247 |
Provider Name | Teawna Hemphill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629740204 PECOS PAC ID: 6103219993 Enrollment ID: I20220129000189 |
Provider Name | Kathryn Spavento |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417454661 PECOS PAC ID: 9537406970 Enrollment ID: I20220318001020 |
Provider Name | Alex Shelleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730836750 PECOS PAC ID: 9234526609 Enrollment ID: I20220504000567 |
Provider Name | Amela Nezha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215672498 PECOS PAC ID: 6305220807 Enrollment ID: I20220901001479 |
Provider Name | Sarah Heller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962145086 PECOS PAC ID: 4486039260 Enrollment ID: I20220914002688 |
Provider Name | Kaitlyn Reese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306573571 PECOS PAC ID: 7113302753 Enrollment ID: I20220916002435 |
Provider Name | Josephine Arnone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437878113 PECOS PAC ID: 1850760208 Enrollment ID: I20221207002115 |
Provider Name | Andrew Mounir Atia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326536947 PECOS PAC ID: 7517204878 Enrollment ID: I20230118002224 |
Provider Name | Julie Baumgartner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326767070 PECOS PAC ID: 1355713181 Enrollment ID: I20230203002467 |
Provider Name | Amanda Yetta Buzynski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154923555 PECOS PAC ID: 1759770837 Enrollment ID: I20230719003544 |
Provider Name | Alicia Marie Odrobina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184316416 PECOS PAC ID: 0749641504 Enrollment ID: I20230727000255 |
Provider Name | James Ryan Miller |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487282810 PECOS PAC ID: 7618338872 Enrollment ID: I20230803002881 |
Provider Name | Sarah Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265118509 PECOS PAC ID: 9830551001 Enrollment ID: I20230821000851 |
Provider Name | Sydny Cappano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366129041 PECOS PAC ID: 9739542705 Enrollment ID: I20230824002039 |
Provider Name | Sneh Chauhan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598298580 PECOS PAC ID: 2365897212 Enrollment ID: I20231012000430 |
Provider Name | Aleena Arshad Hussain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649891144 PECOS PAC ID: 4385080027 Enrollment ID: I20240315002268 |
Provider Name | Katherine C Eck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871351601 PECOS PAC ID: 7214376003 Enrollment ID: I20240412001218 |
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