| Yjh Medical Pc | |
|
1 Colomba Dr Ste 2 Niagara Falls NY 14305-1275 | |
| (716) 501-5501 | |
| (716) 215-6400 |
| Full Name | Yjh Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Colomba Dr Ste 2, Niagara Falls, New York |
| Authorized Official Name and Position | Beth Macswan (OFFICE MANAGER) |
| Authorized Official Contact | 7165015501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yjh Medical Pc 1 Colomba Dr Ste 2 Niagara Falls NY 14305-1275 Ph: (716) 501-5501 | Yjh Medical Pc 1 Colomba Dr Ste 2 Niagara Falls NY 14305-1275 Ph: (716) 501-5501 |
| NPI Number | 1407248453 |
|---|---|
| Provider Enumeration Date | 02/28/2015 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 2961721121 |
|---|---|
| Medicare Enrollment ID | O20150511000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407248453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 239582 (New York) | Primary |
| Provider Name | Yahya J Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861433930 PECOS PAC ID: 8325050032 Enrollment ID: I20060621000237 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
| Provider Name | Caitlin E Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629525167 PECOS PAC ID: 8628359627 Enrollment ID: I20170106000221 |
| Provider Name | Tammy M Pesaresi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255660734 PECOS PAC ID: 2466859384 Enrollment ID: I20210920003173 |
| Provider Name | Courtney L Penque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043094170 PECOS PAC ID: 1355798059 Enrollment ID: I20231116001694 |
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