Chautauqua Medical Practice, P.C.

LBN: Chautauqua Medical Practice, P.C.
Chautauqua Medical Practice, P.C. is an health care organization with primary practice located at 4936 Main St , Bemus Point NY 14712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Chautauqua Medical Practice, P.C. can be contacted via phone (716) 386-2414, or through Holley, Paul S via phone (716) 386-2414.

Contact Information

Primary practice address
4936 Main St Bemus Point NY 14712
Phone: (716) 386-2414
Fax: (716) 386-2437
Website:
Map and Directions
Authorized official contact:
Name: Holley, Paul S
Phone: (716) 386-2414

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 204064 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1922181767
LBN Legal business name Chautauqua Medical Practice, P.C.
DBA Doing business as Chautauqua Medical Practice, P.C.
Authorized official Holley, Paul S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Sep 30th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922181767 NPPES
New York MEDICAID 01669929

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