| Olean Primary Medical Care Pllc | |
|
2626 W State St Suite 202 Olean NY 14760-1858 | |
| (716) 908-9397 | |
| Not Available |
| Full Name | Olean Primary Medical Care Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2626 W State St, Olean, New York |
| Authorized Official Name and Position | Thayaparan Mathanakaran (PARTNER/PHYSICIAN) |
| Authorized Official Contact | 7169089397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olean Primary Medical Care Pllc Po Box 214 Allegany NY 14706-0214 Ph: (716) 908-9397 | Olean Primary Medical Care Pllc 2626 W State St Suite 202 Olean NY 14760-1858 Ph: (716) 908-9397 |
| NPI Number | 1851686679 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 01/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851686679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 251105 (New York) | Primary |
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