| Team Excellence | |
|
170 Professional Pkwy Lockport NY 14094-5368 | |
| (716) 536-6416 | |
| Not Available |
| Full Name | Team Excellence |
|---|---|
| Speciality | Family Medicine |
| Location | 170 Professional Pkwy, Lockport, New York |
| Authorized Official Name and Position | Enaame Farrell (OWNER/PROVIDER) |
| Authorized Official Contact | 7165366416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Excellence 170 Professional Pkwy Lockport NY 14094-5368 Ph: (716) 536-6416 | Team Excellence 170 Professional Pkwy Lockport NY 14094-5368 Ph: (716) 536-6416 |
| NPI Number | 1538631536 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 01/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538631536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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