DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1174057699

NPI Code Detail

MEDICARE: AMR ESSA MD

MEDICARE: AMR ESSA MD

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	207R00000X	Internal Medicine Physician	305727	NY
2	207RC0000X	Cardiovascular Disease Physician	305727	NY
3	208M00000X	Hospitalist Physician	305727	NY
4	207R00000X	Internal Medicine Physician	042.0017846	VT
5	207RC0000X	Cardiovascular Disease Physician	042.0017846	VT
6	208M00000X	Hospitalist Physician	042.0017846	VT

General Provider Information

NPI Number	:	1174057699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMR ESSA MD

Provider Business Mailing Address
First Line	:	111 COLCHESTER AVE
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1473
Country	:	US
Telephone Number	:	802-847-0000
Fax Number	:	802-847-6254

Provider Business Practice Location Address
First Line	:	75 BEEKMAN ST
Second Line	:
City	:	PLATTSBURGH
State	:	NY
Zip	:	12901-1438
Country	:	US
Telephone Number	:	518-561-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2017
Last Update Date	:	12/19/2025

Similar Medicare Providers

1316079098 — EMT OF CVPH INC
Practice Location Address:

75 BEEKMAN ST
PLATTSBURGH, NY
12901-1438

Practice Phone: 518-562-7499
Practice Fax: 518-562-7184

1073133435 — ANGAD SINGH GILL M.D.
Practice Location Address:

75 BEEKMAN ST
PLATTSBURGH, NY
12901-1438

Practice Phone: 518-562-7408
Practice Fax:

1962407205 — ROBERT L. EBERLE M.D.
Practice Location Address:

75 BEEKMAN ST
PLATTSBURGH, NY
12901-1438

Practice Phone: 518-561-2000
Practice Fax:

1790786051 — DR. ANTHONY VACCARO M.D.
Practice Location Address:

75 BEEKMAN ST
PLATTSBURGH, NY
12901-1438

Practice Phone: 518-562-7120
Practice Fax: 518-562-7972

1275527004 — ROSLYN RACHEL ROMANOWSKI MD
Practice Location Address:

75 BEEKMAN ST
PLATTSBURGH, NY
12901-1438

Practice Phone: 518-562-7100
Practice Fax: 518-562-7531

1992790455 — ELISSA V VEGA-TUCKER M.P.T.
Practice Location Address:

75 BEEKMAN ST
PLATTSBURGH, NY
12901-1438

Practice Phone: 518-561-2000
Practice Fax:

Directions to “ AMR ESSA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.