| Victor Internal Medicine & Pediatrics,p.c. | |
|
6532 Anthony Dr Ste A Victor NY 14564-1422 | |
| (585) 924-2100 | |
| (585) 398-1217 |
| Full Name | Victor Internal Medicine & Pediatrics,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6532 Anthony Dr Ste A, Victor, New York |
| Authorized Official Name and Position | Kevin Dwain Penird (PRESIDENT) |
| Authorized Official Contact | 5859242158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Internal Medicine & Pediatrics,p.c. 6532 Anthony Dr Ste A Victor NY 14564-1422 Ph: (585) 924-2100 | Victor Internal Medicine & Pediatrics,p.c. 6532 Anthony Dr Ste A Victor NY 14564-1422 Ph: (585) 924-2100 |
| NPI Number | 1275673758 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 03/11/2022 |
| Medicare PECOS PAC ID | 9133294424 |
|---|---|
| Medicare Enrollment ID | O20080821000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275673758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 197675 (New York) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Colleen K Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558463455 PECOS PAC ID: 4486634193 Enrollment ID: I20040722001344 |
| Provider Name | Karen F Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811099716 PECOS PAC ID: 3971528761 Enrollment ID: I20051011000558 |
| Provider Name | Josephine Barrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093787319 PECOS PAC ID: 4587756317 Enrollment ID: I20070823000729 |
| Provider Name | Kevin Dwain Penird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265488803 PECOS PAC ID: 7911072202 Enrollment ID: I20101130000429 |
| Provider Name | Brian Edward Piotrowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386684785 PECOS PAC ID: 3274608567 Enrollment ID: I20111020000607 |
| Provider Name | Philip S Meaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124030549 PECOS PAC ID: 7012082209 Enrollment ID: I20140604000394 |
| Provider Name | Maysaa Hameed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811251473 PECOS PAC ID: 5991006595 Enrollment ID: I20151228001420 |
Vito C. Quatela, Md, Victor Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7255 State Route 96, Victor, NY 14564 Phone: 585-244-1000 | |
Iacobucci Internal Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7255 State Route 96 Ste 210, Victor, NY 14564 Phone: 585-205-8330 |