| Laurel A Dallmeyer, MD | |
|
765 Geneva Crossing Way, Geneva, NY 14456 | |
| (315) 226-8997 | |
| (315) 789-1213 |
| Full Name | Laurel A Dallmeyer |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 765 Geneva Crossing Way, Geneva, 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 |
|---|---|---|---|
| 1619919206 | NPI | - | NPPES |
| 01126347 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 176102 (New York) | Primary |
| Entity Name | The Frederick Ferris Thompson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194776351 PECOS PAC ID: 3274428586 Enrollment ID: O20040217000109 |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel A Dallmeyer, MD 765 Geneva Crossing Way, Geneva, NY 14456 Ph: (315) 226-8997 | Laurel A Dallmeyer, MD 765 Geneva Crossing Way, Geneva, NY 14456 Ph: (315) 226-8997 |
Timothy Gerard Malia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Pre Emption Rd, Geneva, NY 14456 Phone: 315-759-5319 Fax: 315-759-5319 | |
Jennifer Mungari, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 North St Ste 102, Geneva, NY 14456 Phone: 315-787-5400 Fax: 315-787-5475 | |
Mignon Avendano Enecilla, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 North St Ste 101, Geneva, NY 14456 Phone: 315-787-5200 | |
Dr. Edward Joseph Zgleszewski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 North St Ste 101, Geneva, NY 14456 Phone: 315-787-5200 | |
Dr. David Mane, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 821 Pre Emption Rd, Suite 200, Geneva, NY 14456 Phone: 315-787-5303 Fax: 315-787-5060 |