| St. Petersburg Medical Care Llc | |
|
225 East Ave Lockport NY 14094-3812 | |
| (716) 438-3546 | |
| Not Available |
| Full Name | St. Petersburg Medical Care Llc |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 225 East Ave, Lockport, New York |
| Authorized Official Name and Position | Mohamed Khalaf (MANAGER) |
| Authorized Official Contact | 7164383546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Petersburg Medical Care Llc 2001 16th St N Attn:paul C Jensen St Petersburg FL 33704-3921 Ph: (716) 438-3546 | St. Petersburg Medical Care Llc 225 East Ave Lockport NY 14094-3812 Ph: (716) 438-3546 |
| NPI Number | 1437609807 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437609807 | NPI | - | NPPES |
| 01636066 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 202334 (New York) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 202334 (New York) | Primary |
Shaymal Mozumdar M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Davison Ct, Lockport, NY 14094 Phone: 716-433-7921 | |
Community Pediatrics Of Wny, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 Davison Rd, Lockport, NY 14094 Phone: 716-433-6666 Fax: 716-524-6736 | |
Eaton Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Bewley Building, Lockport, NY 14094 Phone: 716-433-6936 Fax: 716-433-6938 | |
Greater Niagara Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5879 Snyder Dr, Lockport, NY 14094 Phone: 716-433-8751 Fax: 716-433-8792 | |
Frederick J Piwko Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3976 Lockport Olcott Rd, Suite C, Lockport, NY 14094 Phone: 716-439-4248 Fax: 716-439-4838 | |
Nicholas Varallo Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 Davison Road, Lockport, NY 14094 Phone: 716-433-5454 Fax: 716-478-0488 | |
Crystal Springs Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6101 Robinson Rd, Lockport, NY 14094 Phone: 716-625-9851 Fax: 716-625-9858 |