| Zachary E Stiles, DO | |
| 6000 Brockton Dr, Lockport, NY 14094-9273 | |
| (716) 845-3400 | |
| (716) 438-1430 | 
| Full Name | Zachary E Stiles | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Surgical Oncology | 
| Location | 6000 Brockton Dr, Lockport, 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 | 
|---|---|---|---|
| 1861810988 | NPI | - | NPPES | 
| 07789682 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 324749 (New York) | Primary | 
| Entity Name | Roswell Park Cancer Institute | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720036593 PECOS PAC ID: 3577475110 Enrollment ID: O20031103000466 | 
| Entity Name | Rpci Oncology, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952703985 PECOS PAC ID: 3870731029 Enrollment ID: O20130529000409 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Zachary E Stiles, DO 3041 Orchard Park Rd, Ste C, Orchard Park, NY 14127-1238 Ph: (718) 674-3104 | Zachary E Stiles, DO 6000 Brockton Dr, Lockport, NY 14094-9273 Ph: (716) 845-3400 | 
| Dr. Mohamed M Ibrahim, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 15 Elizabeth Dr, Lockport, NY 14094 Phone: 716-341-3983 Fax: 716-433-6388 | |
| Dr. Robert Wayne Hodge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 East Ave, Lockport, NY 14094 Phone: 716-434-6141 Fax: 716-434-0594 | |
| Dr. Manjushree Dey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 734 Davison Road, Lockport, NY 14094 Phone: 716-433-1977 Fax: 716-433-1978 | |
| Anthony Thomas Dibenedetto, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Elizabeth Dr, Lockport, NY 14094 Phone: 716-434-9141 Fax: 716-434-0594 | |
| Lewis James Alrutz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 419 Willow St, Lockport, NY 14094 Phone: 716-433-8140 | |
| Dr. Jeffrey John Schratz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 East Ave, Lockport, NY 14094 Phone: 716-434-6141 Fax: 716-434-0594 |