Organization
ORLEANS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL E KLOTZBACH MSN, NP (OFFICE MANAGER)
(585) 798-1053
Entity
Organization
Contact information
Practice address
11075 W CENTER STREET EXT, MEDINA, NY 14103-9557
(585) 798-1053
(585) 798-5639
Mailing address
11075 W CENTER STREET EXT, MEDINA, NY 14103-9557
(585) 798-1053
(585) 798-5639
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00642420
—
NY
05
—
02081836
—
NY
Enumeration date
01/12/2007
Last updated
08/22/2020
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