Brandon Michael Fyock (NPI# 1780047241, PAC ID# 7719224344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780047241 |
| PAC ID by PECOS | 7719224344 |
| Professional Enrollment ID | I20190612002230 |
| Full Name | Brandon Michael Fyock |
| Organization Legal Name | SOUTHTOWNS FAMILY PRACTICE PC |
| Address |
3040 Amsdell Rd Hamburg NY 14075-5835 |
| Phone Number | 7166466700 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012199102 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330078 | SISTERS OF CHARITY HOSPITAL |
| 330229 | BROOKS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3040 Amsdell Rd, Hamburg, NY 14075-5835 | 7166466700 | SOUTHTOWNS FAMILY PRACTICE PC |
| Organization Legal Name | SOUTHTOWNS FAMILY PRACTICE PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean W Maclean | Family Medicine | Southtowns Family Practice PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Craig K Maclean | Family Medicine | Southtowns Family Practice PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Lori A Christiano | Nurse Practitioner | Southtowns Family Practice PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Stephanie L Hoppy | Nurse Practitioner | Southtowns Family Practice PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Street Address |
3040 AMSDELL RD |
| City | HAMBURG |
| State | NY |
| Zip | 14075-5835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Sterlace Jr. | Physical Therapy | 3040 Amsdell Rd, Suite 207b, Hamburg, NY 14075-5835 | |
| Sean W Maclean | Family Medicine | Southtowns Family Practice PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Craig K Maclean | Family Medicine | Southtowns Family Practice PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Lori A Christiano | Nurse Practitioner | Southtowns Family Practice PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Stephanie L Hoppy | Nurse Practitioner | Southtowns Family Practice PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Andrew P Giacobbe | Plastic and Reconstructive Surgery | 3040 Amsdell Rd, Hamburg, NY 14075-5835 | |
| Michael Sansano Jr. | Ophthalmology | Amarjit S Atwal, Md PC | 3040 Amsdell Rd, Hamburg, NY 14075-5835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Maurice Gillezeau | Chiropractic | 3383 Big Tree Rd, Hamburg, NY 14075-1703 | |
| Christina Patrice Bukaty | Chiropractic | Bukaty Family Chiropractic PC | 4269 Saint Francis Dr, Hamburg, NY 14075-1724 |
| Stephanie L Werner | Chiropractic | Bukaty Family Chiropractic PC | 4269 Saint Francis Dr, Hamburg, NY 14075-1724 |
| Anthony T Goode | Physical Therapy | Kirchmyer and Goode Physical Therapists PC | 4535 Southwestern Blvd, Hamburg, NY 14075-1860 |
| Jeffrey D Kirchmyer | Physical Therapy | Kirchmyer and Goode Physical Therapists PC | 4535 Southwestern Blvd, Hamburg, NY 14075-1860 |
| Ronald P Santasiero | Family Practice | Ronald P. Santasiero Md PC | 4535 Southwestern Blvd, Suite 801, Hamburg, NY 14075-1860 |
| Lindsay S Colbert | Physical Therapy | Kirchmyer and Goode Physical Therapists PC | 4535 Southwestern Blvd, Hamburg, NY 14075-1860 |
| Melissa M Mele Delgado | Nurse Practitioner | Southern Tier Dermatology and Aesthetics | 4535 Southwestern Blvd, Suite 202, Hamburg, NY 14075-1861 |
| Melissa A Merlin | Nurse Practitioner | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Diana G Watson | Psychologist, Clinical | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Find all physicians in zip 14075 | |||
| City | HAMBURG |
| Zip Code | 14075 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HAMBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brandon Michael Fyock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.