| Kenmore Family Medicine, Llp | |
|
2914 Elmwood Ave Kenmore NY 14217-1332 | |
| (716) 875-6700 | |
| (716) 875-6853 |
| Full Name | Kenmore Family Medicine, Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 2914 Elmwood Ave, Kenmore, New York |
| Authorized Official Name and Position | David A Silverstein (MANAGING PARTNER) |
| Authorized Official Contact | 7168756700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenmore Family Medicine, Llp 2914 Elmwood Ave Kenmore NY 14217-1332 Ph: (716) 875-6700 | Kenmore Family Medicine, Llp 2914 Elmwood Ave Kenmore NY 14217-1332 Ph: (716) 875-6700 |
| NPI Number | 1124119029 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 03/10/2015 |
| Medicare PECOS PAC ID | 6901895036 |
|---|---|
| Medicare Enrollment ID | O20040512000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124119029 | NPI | - | NPPES |
| 1043503246 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa M Mendonza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538128764 PECOS PAC ID: 1951382118 Enrollment ID: I20040525001206 |
| Provider Name | Patricia J Champlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366400699 PECOS PAC ID: 7618928599 Enrollment ID: I20050208000870 |
| Provider Name | David A Silverstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881687358 PECOS PAC ID: 8022909977 Enrollment ID: I20080523000347 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Lynda Erick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710921200 PECOS PAC ID: 7416141072 Enrollment ID: I20101028000309 |
| Provider Name | David F Pfalzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588623714 PECOS PAC ID: 9234327925 Enrollment ID: I20101222000292 |
| Provider Name | Jonathan Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043503246 PECOS PAC ID: 3577780592 Enrollment ID: I20140814000746 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
| Provider Name | Paul W Campana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740627942 PECOS PAC ID: 5092005371 Enrollment ID: I20160729000122 |
| Provider Name | Julie K Baudo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770938383 PECOS PAC ID: 5698056851 Enrollment ID: I20161229001562 |
| Provider Name | Kaitlyn E Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205300191 PECOS PAC ID: 1850625179 Enrollment ID: I20190620000980 |
| Provider Name | Jill C Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689262230 PECOS PAC ID: 2769898089 Enrollment ID: I20210311002263 |
| Provider Name | Morgan Victoria Dressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528795267 PECOS PAC ID: 3779968540 Enrollment ID: I20220914002126 |
| Provider Name | Manuel Castro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336360874 PECOS PAC ID: 7315039195 Enrollment ID: I20221209000723 |
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