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NPI Code Detail

MEDICARE: ACADEMIC MEDICINE SERVICES, INC.

MEDICARE: ACADEMIC MEDICINE SERVICES, INC.
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
1207R00000XInternal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1255394763
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACADEMIC MEDICINE SERVICES, INC.
Provider Business Mailing Address
First Line : 4498 MAIN ST
Second Line : SUITE 23
City : AMHERST
State : NY
Zip : 14226-3826
Country : US
Telephone Number : 716-558-7597
Fax Number : 716-961-9950
Provider Business Practice Location Address
First Line : 1020 YOUNGS RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-2698
Country : US
Telephone Number : 716-961-9900
Fax Number : 716-961-9911
Authorized Official
Title or Position : CHAIR/DIRECTOR
Name : ANNE CURTIS
Credential : MD
Telephone Number : 716-859-4831
Provider Enumeration Date : 04/07/2006
Last Update Date : 10/21/2015

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