| Attica Family Medicine, Pllc | |
| 
					10 Munson St Le Roy NY 14482-8933  | |
| (585) 703-0101 | |
| Not Available | 
| Full Name | Attica Family Medicine, Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 10 Munson St, Le Roy, New York | 
| Authorized Official Name and Position | Raja Kolisetti (OWNER) | 
| Authorized Official Contact | 5857030101 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Attica Family Medicine, Pllc 2 W Main St Unit 333 Batavia NY 14021-7013 Ph: (585) 703-0101  | Attica Family Medicine, Pllc 10 Munson St Le Roy NY 14482-8933 Ph: (585) 703-0101  | 
| NPI Number | 1679986681 | 
|---|---|
| Provider Enumeration Date | 06/06/2014 | 
| Last Update Date | 06/06/2024 | 
| Medicare PECOS PAC ID | 0648495895 | 
|---|---|
| Medicare Enrollment ID | O20140702001980 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679986681 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Raja Kolisetti | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1861460214 PECOS PAC ID: 6709860737 Enrollment ID: I20040623000297  | 
Denford Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Tountas Ave, Le Roy, NY 14482 Phone: 585-768-4670 Fax: 585-768-4681  | |
Deniz M Pirincci Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Tountas Ave, Le Roy, NY 14482 Phone: 585-768-4670 Fax: 585-768-4681  | |
Lakeside Memorial Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8745 Lake Street Rd, Le Roy, NY 14482 Phone: 585-768-2620 Fax: 585-768-2694  |