| Patricia J. Danaher, Md, P.c. | |
|
5949 Campbell Blvd Lockport NY 14094-9204 | |
| (716) 778-8627 | |
| (716) 778-8059 |
| Full Name | Patricia J. Danaher, Md, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 5949 Campbell Blvd, Lockport, New York |
| Authorized Official Name and Position | Patricia J Danaher-haag (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7167788627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia J. Danaher, Md, P.c. 5949 Campbell Blvd Lockport NY 14094-9204 Ph: (716) 778-8627 | Patricia J. Danaher, Md, P.c. 5949 Campbell Blvd Lockport NY 14094-9204 Ph: (716) 778-8627 |
| NPI Number | 1912239179 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 06/14/2019 |
| Medicare PECOS PAC ID | 0547305088 |
|---|---|
| Medicare Enrollment ID | O20100311000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912239179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Patricia J Danaher Haag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861439879 PECOS PAC ID: 8224002290 Enrollment ID: I20040827000213 |
| Provider Name | Erika M Grose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285175364 PECOS PAC ID: 7113203522 Enrollment ID: I20170420000657 |
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