MEDICARE: SENECA CAZENOVIA O S S

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	040401000127	OTHER	NY	FIDELIS
2	00011191501	OTHER	NY	UNIVERA
3	000551025001	OTHER	NY	BLUE CROSS/BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8251529	OTHER	NY	INDEPENTENT HEALTH

General Provider Information

NPI Number	:	1982637781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENECA CAZENOVIA O S S

Provider Business Mailing Address
First Line	:	2152 SENECA ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14210-2445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2152 SENECA ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14210-2445
Country	:	US
Telephone Number	:	716-824-6298
Fax Number	:	716-824-6317

Authorized Official
Title or Position	:	C.E.O., PRESIDENT, MANAGER
Name	:	MR. JOSEPH GIGLIA
Credential	:
Telephone Number	:	716-824-6298

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	08/22/2013

Similar Medicare Providers

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1487650032 — MR. DAVID J BRZYKCY PT
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1417942582 — DR. KYLE THOMAS OSBORN M.D.
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1184608648 — DAVID WIECZERZYNSKI NP
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Directions to “SENECA CAZENOVIA O S S ” Practice Location

Language	Start Address	Practice Location

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