| Casey Cole, | |
|
531 Eisenhower Ave, Angola, NY 14006-9155 | |
| (716) 512-0515 | |
| Not Available |
| Full Name | Casey Cole |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 531 Eisenhower Ave, Angola, 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 |
|---|---|---|---|
| 1306255062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F306889-1 (New York) | Primary |
| Entity Name | Zair Fishkin |
|---|---|
| Entity Type | Practitioner - Orthopedic Surgery |
| Entity Identifiers | NPI Number: 1073763165 PECOS PAC ID: 1557409588 Enrollment ID: I20091112000360 |
| 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 | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639209596 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
| Entity Name | Erie County Medical Center Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
| Entity Name | Buffalo Internist & Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134381031 PECOS PAC ID: 7416016951 Enrollment ID: O20081112000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Cole, 531 Eisehower Ave, Angola, NY 14006 Ph: (716) 512-0515 | Casey Cole, 531 Eisenhower Ave, Angola, NY 14006-9155 Ph: (716) 512-0515 |