Organization
TWIN CITY PHYSICIANS GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TAKATS III D.O. (PHYSICIAN)
(716) 447-8868
Entity
Organization
Contact information
Practice address
445 TREMONT ST, NORTH TONAWANDA, NY 14120-6150
(716) 694-4500
Mailing address
50 ALCONA AVE, AMHERST, NY 14226-2201
(716) 834-1191
(716) 834-1382
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011179801
UNIVERA
NY
01
—
000507856001
BLUE CROSS
NY
05
—
00645405
—
NY
01
—
111498900
DEPARTMENT OF LABOR
NY
01
—
399009
INDEPENDENT HEALTH
NY
Enumeration date
03/15/2006
Last updated
06/12/2008
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