| Teodoro Mariano Jr Md Pc | |
|
21 Union Hill Dr Spencerport NY 14559-1965 | |
| (585) 352-4411 | |
| (585) 352-1305 |
| Full Name | Teodoro Mariano Jr Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Union Hill Dr, Spencerport, New York |
| Authorized Official Name and Position | Teodoro Reyes Mariano (PRESIDENT) |
| Authorized Official Contact | 5853524411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teodoro Mariano Jr Md Pc 21 Union Hill Dr Spencerport NY 14559-1965 Ph: (585) 352-4411 | Teodoro Mariano Jr Md Pc 21 Union Hill Dr Spencerport NY 14559-1965 Ph: (585) 352-4411 |
| NPI Number | 1063795276 |
|---|---|
| Provider Enumeration Date | 09/23/2011 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063795276 | NPI | - | NPPES |
| 00487921 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 129789 (New York) | Primary |
Spencerport School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bernabi Rd, Spencerport, NY 14559 Phone: 585-349-5451 Fax: 585-349-5486 | |
George R. Stefanos M.d. P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Union Hill Dr, Spencerport, NY 14559 Phone: 585-349-1146 | |
Katherine Management Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Sarah Cir, Spencerport, NY 14559 Phone: 585-208-8668 Fax: 585-617-4219 |