Organization
DR. MARIA JEREVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JEREVA-SIMONOVA MD (OWNER)
(716) 773-8925
Entity
Organization
Contact information
Practice address
1801 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072
(716) 773-8925
(716) 692-4342
Mailing address
908 NIAGARA FALLS BLVD, STE. 208, N. TONAWANDA, NY 14120
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239958
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02080115
—
NY
Enumeration date
10/03/2006
Last updated
05/28/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us