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NPI Code Detail

MEDICARE: AMAR ATWAL, MD PC

MEDICARE: AMAR ATWAL, MD PC
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
1207W00000XOphthalmology Physician131796NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CD5746OTHERNYRAILROAD MEDICARE

General Provider Information

NPI Number : 1013982727
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMAR ATWAL, MD PC
Provider Business Mailing Address
First Line : 3095 HARLEM RD
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-2500
Country : US
Telephone Number : 716-896-8831
Fax Number : 716-896-2318
Provider Business Practice Location Address
First Line : 3095 HARLEM RD
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-2500
Country : US
Telephone Number : 716-896-8831
Fax Number : 716-896-2318
Authorized Official
Title or Position : ADMINISTRATOR
Name : DEBORAH A DAVIS
Credential :
Telephone Number : 716-896-8831
Provider Enumeration Date : 02/17/2006
Last Update Date : 11/20/2019

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