Peter Santa Lucia, MD | |
17 Long Ave, Suite 200, Hamburg, NY 14075-6200 | |
(716) 648-2770 | |
(716) 646-4642 |
Full Name | Peter Santa Lucia |
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Gender | Male |
Speciality | Dermatology - Procedural Dermatology |
Location | 17 Long Ave, Hamburg, 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 |
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1578561247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | 195166 (New York) | Primary |
Entity Name | Brummitte Dale Wilson |
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Entity Type | Practitioner - Dermatology |
Entity Identifiers | NPI Number: 1245237288 PECOS PAC ID: 1658411251 Enrollment ID: I20091211000501 |
Entity Name | Buffalo Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213 |
Mailing Address | Practice Location Address |
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Peter Santa Lucia, MD 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219 | Peter Santa Lucia, MD 17 Long Ave, Suite 200, Hamburg, NY 14075-6200 Ph: (716) 648-2770 |
Brummitte Dale Wilson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17 Long Ave Ste 200, Hamburg, NY 14075 Phone: 716-648-2770 Fax: 716-646-4642 | |
Nathmal S Tarfare, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: S-4947 Lakeshore Road, Hamburg, NY 14075 Phone: 716-627-4407 Fax: 716-627-1174 | |
Jeremy Udkoff, Dermatology Medicare: Medicare Enrolled Practice Location: 4535 Southwestern Blvd Ste 202, Hamburg, NY 14075 Phone: 212-283-3000 | |
Olga Bunimovich, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17 Long Ave Ste 200, Hamburg, NY 14075 Phone: 716-648-2770 Fax: 716-648-1552 | |
Dr. Cornelie M. Jones, MD Dermatology Medicare: Medicare Enrolled Practice Location: 17 Long Ave, Suites 200 & 201, Hamburg, NY 14075 Phone: 716-648-2770 |