| Tonawanda Medical Services, Pc | |
|
843 Tonawanda St Buffalo NY 14207-1447 | |
| (716) 536-9409 | |
| (716) 874-6660 |
| Full Name | Tonawanda Medical Services, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 843 Tonawanda St, Buffalo, New York |
| Authorized Official Name and Position | Ziad I Khatib (PHYSICIAN) |
| Authorized Official Contact | 7165369409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonawanda Medical Services, Pc Po Box 1015 Buffalo NY 14207-9015 Ph: (716) 536-9409 | Tonawanda Medical Services, Pc 843 Tonawanda St Buffalo NY 14207-1447 Ph: (716) 536-9409 |
| NPI Number | 1295924363 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 06/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295924363 | NPI | - | NPPES |
| AA1410 | Other | NY | MEDICARE GROUP # AA1410 |
| 01794747 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 214045 (New York) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | 214045 (New York) | Secondary |
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