Northeast Medical, P.c. | |
2865 Genesee St Cheektowaga NY 14225-3140 | |
(716) 574-3322 | |
Not Available |
Full Name | Northeast Medical, P.c. |
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Speciality | Family Medicine |
Location | 2865 Genesee St, Cheektowaga, New York |
Authorized Official Name and Position | Tajinder Pal Singh (PRESIDENT) |
Authorized Official Contact | 7165743322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northeast Medical, P.c. 2865 Genesee St Cheektowaga NY 14225-3140 Ph: (716) 262-0616 | Northeast Medical, P.c. 2865 Genesee St Cheektowaga NY 14225-3140 Ph: (716) 574-3322 |
NPI Number | 1912393406 |
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Provider Enumeration Date | 04/10/2015 |
Last Update Date | 08/31/2022 |
Medicare PECOS PAC ID | 7810208824 |
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Medicare Enrollment ID | O20150617002118 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912393406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 263416 (New York) | Primary |
Provider Name | Mary C Haney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083670293 PECOS PAC ID: 7810979499 Enrollment ID: I20040607000582 |
Provider Name | Elizabeth A O Neill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346204377 PECOS PAC ID: 0446295950 Enrollment ID: I20050624000852 |
Provider Name | Celene R Cannon-tinder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619162484 PECOS PAC ID: 1658460639 Enrollment ID: I20071128000408 |
Provider Name | Pankaj K Mamtora |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467534842 PECOS PAC ID: 6002978905 Enrollment ID: I20090102000005 |
Provider Name | Kyle A Wiktor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
Provider Name | Suzanne K Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063668457 PECOS PAC ID: 2961557020 Enrollment ID: I20090826000353 |
Provider Name | Elizabeth A Vasquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
Provider Name | Amee Mehta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760627814 PECOS PAC ID: 9931388303 Enrollment ID: I20110322000655 |
Provider Name | Tajinder P Singh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124289558 PECOS PAC ID: 9638350259 Enrollment ID: I20111215000019 |
Provider Name | Ashley Iten |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
Provider Name | Janette Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942692892 PECOS PAC ID: 0143548313 Enrollment ID: I20150420001083 |
Provider Name | Mark Genco |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285980110 PECOS PAC ID: 1557666294 Enrollment ID: I20160218000375 |
Provider Name | Allison Van Den Brand |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679059455 PECOS PAC ID: 8820349160 Enrollment ID: I20180925003105 |
Provider Name | Laporscha Y Gardner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083281414 PECOS PAC ID: 6507266160 Enrollment ID: I20210618000668 |
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