Brendan Raleigh
JERICHO ROAD MINISTRIES INC


Address: 1609 Genesee St, Buffalo, NY 14211-1616
Phone: 7168922775

Brendan Raleigh (NPI# 1548674609, PAC ID# 8729348180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1548674609
PAC ID by PECOS 8729348180
Professional Enrollment ID I20180202000242
Full Name Brendan Raleigh
Organization Legal Name JERICHO ROAD MINISTRIES INC
Address 1609 Genesee St
Buffalo
NY 14211-1616
Phone Number 7168922775
Gender M
Medical School STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year 2014
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 5597992933
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330005 KALEIDA HEALTH

Other Locations

Address Phone Organization
1609 Genesee St, Buffalo, NY 14211-1616 7168922775 JERICHO ROAD MINISTRIES INC
7616 Transit Rd, Williamsville, NY 14221-6017 7162042273 WESTERN NEW YORK IMMEDIATE MEDICAL CARE LLC

Organization Information

Organization Legal Name JERICHO ROAD MINISTRIES INC
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Aung Ko Ko Thant Family Medicine Jericho Road Ministries Inc 1021 Broadway St, Buffalo, NY 14212-1460
Dessialis Cruz Physician Assistant Jericho Road Ministries Inc 184 Barton St, Buffalo, NY 14213-1573
Myron L Glick Family Medicine Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
James Daniel Stoltzfus Jr. Family Medicine Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
Allana Marie Krolikowski Family Medicine Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
Colleen Quinn Family Medicine Jericho Road Ministries Inc 1021 Broadway St, Buffalo, NY 14212-1460
Takesha L Leonard Nurse Practitioner Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
Rebecca Jean Beardsley Nurse Practitioner Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616

Office Location

Street Address 1609 GENESEE ST
City BUFFALO
State NY
Zip 14211-1616

Physicians in the same location

Name Specialty Organization Address
Myron L Glick Family Medicine Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
James Daniel Stoltzfus Jr. Family Medicine Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
Allana Marie Krolikowski Family Medicine Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
Takesha L Leonard Nurse Practitioner Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
Rebecca Jean Beardsley Nurse Practitioner Jericho Road Ministries Inc 1609 Genesee St, Buffalo, NY 14211-1616
Maya Bhattarai Nurse Practitioner Jericho Road Ministries 1609 Genesee St, Buffalo, NY 14211-1616
Kirk Scirto Family Practice Jericho Road Ministries 1609 Genesee St, Buffalo, NY 14211-1616
Katherine Elizabeth Fox Nurse Practitioner Jericho Road Ministries 1609 Genesee St, Buffalo, NY 14211-1616

Physicians in the same zip code

Name Specialty Organization Address
Kenneth L Gayles Cardiovascular Disease (cardiology) 840 Humboldt Pkwy, Buffalo, NY 14211-1217
Winston G Douglas Internal Medicine 840 Humboldt Pkwy, Buffalo, NY 14211-1217
Entela Pone Rheumatology 832 Walden Ave, Buffalo, NY 14211-2639
Miri Salamone-burnett Clinical Social Worker Catholic Charities of Buffalo 20 Rich St, Buffalo, NY 14211-3020
John U Napoli Psychiatry Catholic Charities of Buffalo 20 Rich St, Buffalo, NY 14211-3020
Diana J Page Nurse Practitioner Catholic Charities of Buffalo 20 Rich St, Buffalo, NY 14211-3020
Loida Reyes Psychiatry Catholic Charities of Buffalo 20 Rich St, Buffalo, NY 14211-3020
Susan Lankenau Clinical Social Worker Catholic Charities of Buffalo 20 Rich St, Buffalo, NY 14211-3020

Competitor

Search similar physicians

City BUFFALO
Zip Code 14211
Specialty FAMILY MEDICINE
City + Specialty BUFFALO + FAMILY MEDICINE

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Dataset Information

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.

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