| Dr Imbesat A Daudi, MD | |
|
301 Hoffman St, Elmira, NY 14905-2220 | |
| (607) 733-1156 | |
| (607) 737-7968 |
| Full Name | Dr Imbesat A Daudi |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 301 Hoffman St, Elmira, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811045107 | NPI | - | NPPES |
| 1285892778 | Medicaid | ME | |
| 04037472 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD14600 (Maine) | Primary |
| 208800000X | Urology | 194160 (New York) | Secondary |
| Entity Name | Buchanan Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609808484 PECOS PAC ID: 2860391844 Enrollment ID: O20040429001556 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Imbesat A Daudi, MD 140 Academy St, Presque Isle, ME 04769-3102 Ph: (207) 768-4562 | Dr Imbesat A Daudi, MD 301 Hoffman St, Elmira, NY 14905-2220 Ph: (607) 733-1156 |
Dr. Robert Raymond Bowditch, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 301 Hoffman St, Elmira, NY 14905 Phone: 607-733-1156 Fax: 607-737-7968 | |
Dr. Philip John Stuart, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 301 Hoffman St, Elmira, NY 14905 Phone: 607-733-1153 Fax: 607-737-7968 | |
Luciano Adolfo Nunez Bragayrac, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 301 Hoffman St, Elmira, NY 14905 Phone: 607-733-1156 Fax: 607-737-7968 |