| Wny House Physician Pllc | |
|
60 Brynstone Ct Amherst NY 14228-3703 | |
| (716) 345-6960 | |
| Not Available |
| Full Name | Wny House Physician Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Brynstone Ct, Amherst, New York |
| Authorized Official Name and Position | Anees Ahmad (OWNER) |
| Authorized Official Contact | 7163456960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wny House Physician Pllc 60 Brynstone Ct Amherst NY 14228-3703 Ph: () - | Wny House Physician Pllc 60 Brynstone Ct Amherst NY 14228-3703 Ph: (716) 345-6960 |
| NPI Number | 1003449745 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 03/10/2020 |
| Medicare PECOS PAC ID | 0345663209 |
|---|---|
| Medicare Enrollment ID | O20200710000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003449745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary C Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083670293 PECOS PAC ID: 7810979499 Enrollment ID: I20040607000582 |
| Provider Name | Anees Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881760049 PECOS PAC ID: 0749297901 Enrollment ID: I20060313000468 |
| Provider Name | Jianing Xiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346507092 PECOS PAC ID: 6002045622 Enrollment ID: I20140131000142 |
| Provider Name | Kaydean A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760964894 PECOS PAC ID: 8123365483 Enrollment ID: I20190124000231 |
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