| Attica Family Medicine, Pllc | |
|
107 Prospect St Attica NY 14011-1149 | |
| (585) 591-6000 | |
| (585) 591-6962 |
| Full Name | Attica Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 107 Prospect St, Attica, New York |
| Authorized Official Name and Position | Raja Kolisetti (SOLE MBR) |
| Authorized Official Contact | 5855916000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Attica Family Medicine, Pllc Po Box 333 Batavia NY 14021-0333 Ph: (585) 591-6000 | Attica Family Medicine, Pllc 107 Prospect St Attica NY 14011-1149 Ph: (585) 591-6000 |
| NPI Number | 1679986681 |
|---|---|
| Provider Enumeration Date | 06/06/2014 |
| Last Update Date | 06/06/2014 |
| 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 |
| Provider Name | Carol D Batra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750337218 PECOS PAC ID: 9638155054 Enrollment ID: I20040626000316 |
Raja Kolisetti Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Prospect St, Attica, NY 14011 Phone: 585-591-6000 Fax: 585-591-6962 |