| Alan M Antfleck Physician Pllc | |
|
3800 Delaware Ave Suite 102 Kenmore NY 14217-1094 | |
| (716) 551-1970 | |
| (716) 783-8557 |
| Full Name | Alan M Antfleck Physician Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3800 Delaware Ave, Kenmore, New York |
| Authorized Official Name and Position | Alan Martin Antfleck (OWNER) |
| Authorized Official Contact | 7165511970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan M Antfleck Physician Pllc 3800 Delaware Ave Suite 102 Kenmore NY 14217-1094 Ph: (716) 551-1970 | Alan M Antfleck Physician Pllc 3800 Delaware Ave Suite 102 Kenmore NY 14217-1094 Ph: (716) 551-1970 |
| NPI Number | 1366791998 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 08/29/2012 |
| Medicare PECOS PAC ID | 6204086739 |
|---|---|
| Medicare Enrollment ID | O20121018000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366791998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 237938 (New York) | Primary |
| Provider Name | Alan M Antfleck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154365559 PECOS PAC ID: 4789698481 Enrollment ID: I20060202000083 |
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