# OLEAN PRIMARY MEDICAL CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851686679
- **Authorized official:** DR. THAYAPARAN MATHANAKARAN M.D. (PARTNER/PHYSICIAN)
- **Authorized official phone:** (716) 908-9397

## Contact information

- **Practice address:** 2626 W STATE ST, SUITE 202, OLEAN, NY 14760-1858
- **Practice address phone:** (716) 908-9397
- **Mailing address:** PO BOX 214, ALLEGANY, NY 14706-0214
- **Mailing address phone:** (716) 908-9397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 251105 | NY | Yes |

## Other

- **Enumeration date:** 06/09/2011
- **Last updated:** 01/22/2017