Provider Demographics
NPI:1134294812
Name:TONAWANDA MEDICAL PRACTICE P.C.
Entity Type:Organization
Organization Name:TONAWANDA MEDICAL PRACTICE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSISIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JIHAD
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ABIALMOUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-691-1300
Mailing Address - Street 1:2800 SWEET HOME RD
Mailing Address - Street 2:SUITE# 6
Mailing Address - City:WEST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1300
Mailing Address - Country:US
Mailing Address - Phone:716-691-1300
Mailing Address - Fax:716-691-5044
Practice Address - Street 1:2800 SWEET HOME RD
Practice Address - Street 2:SUITE# 6
Practice Address - City:WEST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1300
Practice Address - Country:US
Practice Address - Phone:716-691-1300
Practice Address - Fax:716-691-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF16889Medicare UPIN
NYAA0818Medicare ID - Type Unspecified