| Rapha Family Medicine, P.c. | |
|
3610 Main St Amherst NY 14226-3123 | |
| (716) 200-4122 | |
| (716) 783-8825 |
| Full Name | Rapha Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3610 Main St, Amherst, New York |
| Authorized Official Name and Position | Frances E. Ilozue (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7162004122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapha Family Medicine, P.c. 3610 Main St Amherst NY 14226-3123 Ph: (716) 200-4122 | Rapha Family Medicine, P.c. 3610 Main St Amherst NY 14226-3123 Ph: (716) 200-4122 |
| NPI Number | 1316153067 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 06/17/2024 |
| Medicare PECOS PAC ID | 8820183155 |
|---|---|
| Medicare Enrollment ID | O20071002000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316153067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 243530 (New York) | Primary |
| Provider Name | Frances E Ilozue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013036706 PECOS PAC ID: 4385739614 Enrollment ID: I20071002000584 |
| Provider Name | Brooke E Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154865210 PECOS PAC ID: 8729369699 Enrollment ID: I20170109000944 |
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