| Niagara Falls Physician Associates P.c. | |
|
620 10th St Suite 710 Niagara Falls NY 14301-1841 | |
| (716) 285-1133 | |
| (716) 285-1179 |
| Full Name | Niagara Falls Physician Associates P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 620 10th St, Niagara Falls, New York |
| Authorized Official Name and Position | Michelle Vitello (RECEPTIONIST) |
| Authorized Official Contact | 7162851133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niagara Falls Physician Associates P.c. 620 - 10th Street Suite 710 Niagara Falls NY 14301-1841 Ph: (716) 285-1133 | Niagara Falls Physician Associates P.c. 620 10th St Suite 710 Niagara Falls NY 14301-1841 Ph: (716) 285-1133 |
| NPI Number | 1568525871 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 11/03/2017 |
| Medicare PECOS PAC ID | 7113927955 |
|---|---|
| Medicare Enrollment ID | O20070102000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568525871 | NPI | - | NPPES |
| 00958970 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 157035 (New York) | Primary |
| Provider Name | Mary C Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083670293 PECOS PAC ID: 7810979499 Enrollment ID: I20040607000582 |
| Provider Name | Naresh Kumar Jain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285633032 PECOS PAC ID: 0840290680 Enrollment ID: I20101113000000 |
| Provider Name | Holly N Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518518174 PECOS PAC ID: 0143552844 Enrollment ID: I20191030001343 |
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