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NPI Code Detail

MEDICARE: EILEEN K. KOSIERACKI, D.O.,P.C.

MEDICARE: EILEEN K. KOSIERACKI, D.O.,P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician184108NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6CC7209OTHERNYMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10103805OTHERNYINDEPENENT HEALTH
25745356OTHERNYAETNA
3MD134POTHERNYMVP/PREFERRED CARE
4000010093901OTHERNYUNIVERA
5010184108OTHERNYEXCELLUS
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
85900220OTHERNYGHI
9000511199002OTHERNYBLUE CROSS BLUE SHIELD OF WNY

General Provider Information

NPI Number : 1700156072
Entity Type Code : Organization
Provider Name (Legal Business Name) : EILEEN K. KOSIERACKI, D.O.,P.C.
Provider Business Mailing Address
First Line : 3916 LONG BRIDGE RD
Second Line :
City : ALBION
State : NY
Zip : 14411-9310
Country : US
Telephone Number : 585-589-6247
Fax Number : 585-589-6351
Provider Business Practice Location Address
First Line : 3916 LONG BRIDGE RD
Second Line :
City : ALBION
State : NY
Zip : 14411-9310
Country : US
Telephone Number : 585-589-6247
Fax Number : 585-589-6351
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : MS. EILEEN KATHERINE KOSIERACKI
Credential : D.O.
Telephone Number : 585-589-6247
Provider Enumeration Date : 01/04/2012
Last Update Date : 01/04/2012

Similar Medicare Providers

1174520589 — MISS EILEEN KATHERINE KOSIERACKI D.O.
Practice Location Address:
3916 LONG BRIDGE RD
ALBION, NY
14411-9310
Practice Phone: 585-589-6247
Practice Fax: 585-589-6351
1518160449 — MRS. LAURA LEE OHEARN LPN
Practice Location Address:
4618 OAK ORCHARD RD
ALBION, NY
14411
Practice Phone: 585-589-0576
Practice Fax: 585-589-7845
1659769883 — KATHRYN CADY MSW, LMSW
Practice Location Address:
301 WEST AVE
ALBION, NY
14411-1522
Practice Phone: 585-589-5613
Practice Fax:
1265437248 — DR. SATYA P SAHUKAR M.D.
Practice Location Address:
301 WEST AVE
ALBION, NY
14411-1522
Practice Phone: 585-589-5613
Practice Fax: 585-589-0872
1376549808 — DR. BRENDA L BIERDEMAN PSY.D.
Practice Location Address:
27 S PLATT ST
ALBION, NY
14411-1431
Practice Phone: 585-589-2315
Practice Fax: 585-589-1036
1457343972 — MISS SANDRA BOEHLERT MD
Practice Location Address:
14789 ROUTE 31
ALBION, NY
14411-9709
Practice Phone: 585-589-2273
Practice Fax: 585-589-1876

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