| Baker Victory Healthcare Center | |
|
790 Ridge Road 2nd Floor Lackawanna NY 14218 | |
| (716) 828-7586 | |
| Not Available |
| Full Name | Baker Victory Healthcare Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 790 Ridge Road 2nd Floor, Lackawanna, New York |
| Authorized Official Name and Position | Sheila Rena Hunt (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 7168289699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Victory Healthcare Center 790 Ridge Road 2nd Floor Lackawanna NY 14218 Ph: (716) 828-7586 | Baker Victory Healthcare Center 790 Ridge Road 2nd Floor Lackawanna NY 14218 Ph: (716) 828-7586 |
| NPI Number | 1245095413 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245095413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Maria Rita Andaya M.d.,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Melroy Ave, Lackawanna, NY 14218 Phone: 716-821-0170 Fax: 716-821-0568 | |
Maria Rita Andaya Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Melroy Ave, Lackawanna, NY 14218 Phone: 716-821-0170 Fax: 716-821-0568 |