Olean Medical Practice Pllc | |
535 Main St Olean NY 14760-1500 | |
(716) 372-0141 | |
Not Available |
Full Name | Olean Medical Practice Pllc |
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Speciality | Clinic/Center |
Location | 535 Main St, Olean, New York |
Authorized Official Name and Position | Christine R Strade (CEO) |
Authorized Official Contact | 7163762247 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Olean Medical Practice Pllc 535 Main St Olean NY 14760-1500 Ph: (716) 372-0141 | Olean Medical Practice Pllc 535 Main St Olean NY 14760-1500 Ph: (716) 372-0141 |
NPI Number | 1679223366 |
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Provider Enumeration Date | 03/25/2022 |
Last Update Date | 03/25/2022 |
Medicare PECOS PAC ID | 0042698045 |
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Medicare Enrollment ID | O20230306002573 |
Identifier | Type | State | Issuer |
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1679223366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Brandon Arthur Rogers |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1700346186 PECOS PAC ID: 2668867086 Enrollment ID: I20230314000973 |
Provider Name | Kelly Rogers |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1174083125 PECOS PAC ID: 8527447309 Enrollment ID: I20230524000447 |
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