| Brooks - Tlc Hospital System Inc | |
| 
					34 Commercial St Gowanda NY 14070  | |
| (716) 532-8100 | |
| (716) 532-2549 | 
| Full Name | Brooks - Tlc Hospital System Inc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 34 Commercial St, Gowanda, New York | 
| Authorized Official Name and Position | Mary Elizabeth Larowe (PRESIDENT/CEO) | 
| Authorized Official Contact | 7163637207 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brooks - Tlc Hospital System Inc 529 Central Ave Dunkirk NY 14048-2514 Ph: (716) 375-6490  | Brooks - Tlc Hospital System Inc 34 Commercial St Gowanda NY 14070 Ph: (716) 532-8100  | 
| NPI Number | 1538419502 | 
|---|---|
| Provider Enumeration Date | 09/17/2012 | 
| Last Update Date | 02/11/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538419502 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
Tri-county Family Medicine Asso Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 School St, Suite 107, Gowanda, NY 14070 Phone: 716-241-7067 Fax: 716-241-7197  |