| Henna M Patel, MD | |
|
7060 Erie Rd Suite 100, Derby, NY 14047 | |
| (716) 947-0408 | |
| (716) 947-0413 |
| Full Name | Henna M Patel |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 7060 Erie Rd Suite 100, Derby, 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 |
|---|---|---|---|
| 1477887560 | NPI | - | NPPES |
| 03154056 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 250826 (New York) | Primary |
| Entity Name | Lakeshore Family Medicine Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295832418 PECOS PAC ID: 8527031988 Enrollment ID: O20040816000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Henna M Patel, MD 7060 Erie Rd Suite 100, Derby, NY 14047 Ph: (716) 947-0408 | Henna M Patel, MD 7060 Erie Rd Suite 100, Derby, NY 14047 Ph: (716) 947-0408 |
Morris M Cavalieri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7020 Erie Rd, Derby, NY 14047 Phone: 716-947-4851 Fax: 716-947-0413 | |
Sarah Beth Celia, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 7060 Erie Rd, Derby, NY 14047 Phone: 716-947-0408 | |
Mr. Paul John Caro, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6970 Erie Road Route 5, Suite A, Derby, NY 14047 Phone: 716-947-9147 Fax: 716-947-5175 | |
Tariq A Sheikh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7060 Erie Rd, Suite 100, Derby, NY 14047 Phone: 716-947-0408 Fax: 716-947-0413 |