| Queen City Internal Medicine Of W.n.y.p.c. | |
|
2950 Elmwood Ave Kenmore NY 14217-1304 | |
| (716) 447-6100 | |
| Not Available |
| Full Name | Queen City Internal Medicine Of W.n.y.p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2950 Elmwood Ave, Kenmore, New York |
| Authorized Official Name and Position | Hanaw A Adham (OWNER) |
| Authorized Official Contact | 7166258876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen City Internal Medicine Of W.n.y.p.c. 146 Arcadian Dr Amherst NY 14228-3736 Ph: (716) 625-8876 | Queen City Internal Medicine Of W.n.y.p.c. 2950 Elmwood Ave Kenmore NY 14217-1304 Ph: (716) 447-6100 |
| NPI Number | 1508053208 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508053208 | NPI | - | NPPES |
| 02960474 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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