| Gjks Physician, PC | |
|
4515 Military Rd Niagara Falls NY 14305-1335 | |
| (716) 236-7880 | |
| (716) 236-7885 |
| Full Name | Gjks Physician, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 4515 Military Rd, Niagara Falls, New York |
| Authorized Official Name and Position | Kaitlynn Lester (PRACTICE MANAGER) |
| Authorized Official Contact | 7162367880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gjks Physician, PC 4515 Military Rd Niagara Falls NY 14305-1335 Ph: (716) 236-7880 | Gjks Physician, PC 4515 Military Rd Niagara Falls NY 14305-1335 Ph: (716) 236-7880 |
| NPI Number | 1609583228 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 6002274594 |
|---|---|
| Medicare Enrollment ID | O20230615000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609583228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Giuseppina J Kenyon Savard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023278082 PECOS PAC ID: 2062586308 Enrollment ID: I20080804000503 |
| Provider Name | Angelina M Barido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427466267 PECOS PAC ID: 4981980778 Enrollment ID: I20170410001778 |
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