| Maria Rita Andaya M.d.,pllc | |
| 
					15 Melroy Ave Lackawanna NY 14218-1626  | |
| (716) 821-0170 | |
| (716) 821-0568 | 
| Full Name | Maria Rita Andaya M.d.,pllc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 15 Melroy Ave, Lackawanna, New York | 
| Authorized Official Name and Position | Maria Rita P Andaya (OWNER) | 
| Authorized Official Contact | 7168210170 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maria Rita Andaya M.d.,pllc 1344 Mckinley Pkwy Lackawanna NY 14218-1643 Ph: (716) 821-0170  | Maria Rita Andaya M.d.,pllc 15 Melroy Ave Lackawanna NY 14218-1626 Ph: (716) 821-0170  | 
| NPI Number | 1184873770 | 
|---|---|
| Provider Enumeration Date | 09/18/2008 | 
| Last Update Date | 09/29/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184873770 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
Baker Victory Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Ridge Road 2nd Floor, Lackawanna, NY 14218 Phone: 716-828-7586  | |
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  |