Organization
OLEAN PRIMARY MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAYAPARAN MATHANAKARAN M.D. (PARTNER/PHYSICIAN)
(716) 908-9397
Entity
Organization
Contact information
Practice address
2626 W STATE ST, SUITE 202, OLEAN, NY 14760-1858
(716) 908-9397
Mailing address
PO BOX 214, ALLEGANY, NY 14706-0214
(716) 908-9397
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
251105
NY
Other
Enumeration date
06/09/2011
Last updated
01/22/2017
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