Preferred Physician Care Pc | |
2816 Pleasant Ave Lake View NY 14085-9624 | |
(716) 646-5500 | |
Not Available |
Full Name | Preferred Physician Care Pc |
---|---|
Speciality | Internal Medicine |
Location | 2816 Pleasant Ave, Lake View, New York |
Authorized Official Name and Position | John Fudyma (MD/OWNER) |
Authorized Official Contact | 7166465500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Preferred Physician Care Pc 908 Niagara Falls Blvd Suite 208 North Tonawanda NY 14120-2019 Ph: (716) 692-3302 | Preferred Physician Care Pc 2816 Pleasant Ave Lake View NY 14085-9624 Ph: (716) 646-5500 |
NPI Number | 1811266786 |
---|---|
Provider Enumeration Date | 12/22/2011 |
Last Update Date | 01/03/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811266786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 172763 (New York) | Secondary |
207R00000X | Internal Medicine | 172763 (New York) | Primary |