Dr. Maria Jereva

LBN: Dr. Maria Jereva
Dr. Maria Jereva is an health care organization with primary practice located at 1801 Grand Island Blvd , Grand Island NY 14072. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dr. Maria Jereva can be contacted via phone (716) 773-8925, or through Jereva-Simonova, Maria via phone (716) 773-8925.

Contact Information

Primary practice address
1801 Grand Island Blvd Grand Island NY 14072
Phone: (716) 773-8925
Fax: (716) 692-4342
Website:
Map and Directions
Authorized official contact:
Name: Jereva-Simonova, Maria Doctor of Medicine (MD)
Phone: (716) 773-8925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 239958 New York

Profile Details

NPI number 1326133620
LBN Legal business name Dr. Maria Jereva
DBA Doing business as
Authorized official Jereva-Simonova, Maria Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated May 28th, 2008 - about 18 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 1326133620 NPPES
New York MEDICAID 02080115

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