FAMILY CHOICE OF NEW YORK MEDICAL PC (NPI# 1720312754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720312754 |
Entity Type | Organization |
Organization Name | FAMILY CHOICE OF NEW YORK MEDICAL PC |
Practice Address |
3332 Walden Ave Suite 110 Depew NY 14043 |
Practice Telephone | 7166687051 |
Practice Fax Number | 7166687069 |
Mailing Telephone | 7166687051 |
Mailing Fax Number | 7166687069 |
Enumeration Date | 2009-09-23 |
Last Update Date | 2016-06-07 |
Authorized Official Name | DR. STEPHEN EVANS (CHIEF MEDICAL OFFICER) |
Authorized Official Telephone | 7166687051 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | NY | Allopathic & Osteopathic Physicians |
Street Address |
3332 WALDEN AVE SUITE 110 |
City | DEPEW |
State | NY |
Zip Code | 14043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407847007 | Caitlin Marie Lafferty | Obstetrics & Gynecology | 3332 Walden Ave, Suite 110, Depew, NY 14043 | 2005-11-02 |
1952917379 | Dawn A Giardina | Family Medicine | 3332 Walden Ave, Depew, NY 14043-2400 | 2020-09-21 |
1497378830 | Latshia Marie Gardner | Case Manager/Care Coordinator | 3332 Walden Ave, Depew, NY 14043-2400 | 2020-05-20 |
1154973618 | Lauren Vinson | Case Manager/Care Coordinator | 3332 Walden Ave, Depew, NY 14043-2400 | 2019-07-15 |
1225521495 | Lauren Gardner | Case Manager/Care Coordinator | 3332 Walden Ave, Depew, NY 14043-2400 | 2018-06-12 |
1558898536 | Adrienne Kinkade | Case Manager/Care Coordinator | 3332 Walden Ave, Depew, NY 14043-2400 | 2017-05-22 |
1902344385 | Dilafruz Usman Elnasser | Nurse Practitioner | 3332 Walden Ave, Depew, NY 14043-2400 | 2017-02-06 |
1568881266 | Barbara Rogers | Pharmacist | 3332 Walden Ave, Depew, NY 14043-2400 | 2014-04-09 |
1427493741 | Dawn Marie Sacks | Nurse Practitioner | 3332 Walden Ave, Suite 110, Depew, NY 14043-2400 | 2013-04-30 |
1689947426 | Nicole R Gannon | Nurse Practitioner | 3332 Walden Ave, Depew, NY 14043-2400 | 2012-02-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578117016 | Jennifer Wojcik | Specialist | 2049 George Urban Blvd., Depew, NY 14043 | 2019-08-01 |
1437628674 | Kelsey Marie Adams | Student in an Organized Health Care Education/Training Program | 171 Kokomo St. Apt 4, Depew, NY 14043 | 2018-11-16 |
1316425523 | Katherine Kolarczyk | Occupational Therapist | 2039 George Urban Boulevard, Depew, NY 14043 | 2018-07-31 |
1548786387 | Christina Sobieski | Specialist | 458 Dick Rd, Apt. B2, Depew, NY 14043 | 2017-08-14 |
1811418825 | Erin Kathleen Paone | Physician Assistant | 6337 Transit Rd, Depew, NY 14043 | 2017-06-29 |
1003350349 | Restoration Salon and Spa | Point of Service | 425 French Road, Depew, NY 14043 | 2016-12-06 |
1336525104 | Erica Janette Weber | Pharmacist | 236 Zurbrick Rd, Depew, NY 14043 | 2015-08-04 |
1205218781 | Ryan Edwin Knolhoff | Physical Therapy Assistant | 44 A Street, Depew, NY 14043 | 2015-06-22 |
1609297563 | Christine Lee Bartkowiak | Pharmacist | 4975 Transit Road, Depew, NY 14043 | 2013-12-19 |
1336499656 | Jennifer Warrington | Pharmacist | 124 Taylor Road, Depew, NY 14043 | 2012-09-13 |
Find all providers in zip 14043 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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---|---|---|---|---|
1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.