| Deborah L Iafallo, ANP | |
|
4553 Winding Woods Ln, Hamburg, NY 14075-5453 | |
| (716) 648-7112 | |
| Not Available |
| Full Name | Deborah L Iafallo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 4553 Winding Woods Ln, 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 |
|---|---|---|---|
| 1437143575 | NPI | - | NPPES |
| 02639518 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F304130 (New York) | Primary |
| Entity Name | Blt Medical Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386671816 PECOS PAC ID: 5496750291 Enrollment ID: O20060929000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah L Iafallo, ANP 4553 Winding Woods Ln, Hamburg, NY 14075-5453 Ph: (716) 648-7112 | Deborah L Iafallo, ANP 4553 Winding Woods Ln, Hamburg, NY 14075-5453 Ph: (716) 648-7112 |
Kristina C Baranyi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4535 Southwestern Blvd Ste 704, Hamburg, NY 14075 Phone: 716-689-3333 | |
Jill Rice, APRN PMHNP AND FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3750 Heatherwood Dr Apt L5, Hamburg, NY 14075 Phone: 694-693-3044 | |
Janele Lucy Storms, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 Camp Rd, Ste 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 | |
Courtney Burns, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4909 Southwestern Blvd, Hamburg, NY 14075 Phone: 716-926-6358 | |
Mary Colleen House, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Long Avenue, Suite 110, Hamburg, NY 14075 Phone: 716-646-5188 Fax: 716-646-5190 | |
Mr. John Anthony Stagg, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 Lake Shore Rd Apt 132, Hamburg, NY 14075 Phone: 716-935-0508 | |
Shannon Marie Hoffmann, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4855 Camp Rd Ste 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 |