MEDICARE: INTERNAL MED ID ASSOCIATES, LLC

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
1	207RI0200X	Infectious Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073539615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MED ID ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	2235 MILLERSPORT HWY STE 100
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1219
Country	:	US
Telephone Number	:	716-204-5933
Fax Number	:	716-204-5934

Provider Business Practice Location Address
First Line	:	2235 MILLERSPORT HWY STE 100
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1219
Country	:	US
Telephone Number	:	716-204-5933
Fax Number	:	716-204-5934

Authorized Official
Title or Position	:	PARTNER
Name	:	WILLIAM MICHAEL HEALY
Credential	:	M.D.
Telephone Number	:	716-204-5933

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	12/10/2025

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