| Maria Rita Andaya Md Pllc | |
|
15 Melroy Ave Lackawanna NY 14218-1626 | |
| (716) 821-0170 | |
| (716) 821-0568 |
| Full Name | Maria Rita Andaya Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 Melroy Ave, Lackawanna, New York |
| Authorized Official Name and Position | Maria Rita Andaya (OWNER) |
| Authorized Official Contact | 7165494724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Rita Andaya Md Pllc 1344 Mckinley Pkwy Lackawanna NY 14218-1643 Ph: (716) 549-4724 | Maria Rita Andaya Md Pllc 15 Melroy Ave Lackawanna NY 14218-1626 Ph: (716) 821-0170 |
| NPI Number | 1922233477 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Medicare PECOS PAC ID | 5991855876 |
|---|---|
| Medicare Enrollment ID | O20090616000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922233477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary C Bracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505099 PECOS PAC ID: 8820068265 Enrollment ID: I20040730001125 |
| Provider Name | Anees Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881760049 PECOS PAC ID: 0749297901 Enrollment ID: I20060313000468 |
| Provider Name | Maria Rita P Andaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639102874 PECOS PAC ID: 2567463466 Enrollment ID: I20070119000202 |
| Provider Name | Vivien L. Redeye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275820441 PECOS PAC ID: 5597986679 Enrollment ID: I20141015001619 |
Maria Rita Andaya M.d.,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Melroy Ave, Lackawanna, NY 14218 Phone: 716-821-0170 Fax: 716-821-0568 | |
Baker Victory Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Ridge Road 2nd Floor, Lackawanna, NY 14218 Phone: 716-828-7586 |