Great Lakes Physician Practice Pc
Internal Medicine · Jamestown, NY
At a glance
15 S Main St, Jamestown, NY 14701-6626
NPPES record updated Feb 3, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
15 S Main StJamestown, NY 14701-6626
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Internal Medicine
- Taxonomy code
- 207R00000X
- Enumeration date
- May 7, 2014
- Record updated
- Feb 3, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Emergency Medicine
207P00000X
Family Medicine
207Q00000X
Internal Medicine
207R00000X · Primary
Cardiovascular Disease
207RC0000X
Specialty details in registry
207RG0100X
Specialty details in registry
207RN0300X
Specialty details in registry
207RP1001X
Obstetrics & Gynecology
207V00000X
Orthopedic Surgery
207X00000X
Specialty details in registry
207Y00000X
Surgery
208600000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
15 S Main StJamestown, NY 14701-6626
- Phone
- (716) 488-1877
- Fax
- (716) 488-1986
Mailing address
15 S MAIN STJAMESTOWN, NY 147016626
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue