Provider Demographics
NPI:1346315074
Name:ADULT MEDICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:ADULT MEDICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:SHAMOON
Authorized Official - Last Name:MAMNOON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-276-8726
Mailing Address - Street 1:6645 MAIN STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-276-8726
Mailing Address - Fax:716-276-8730
Practice Address - Street 1:6645 MAIN STREET
Practice Address - Street 2:SUITE A
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-276-8726
Practice Address - Fax:716-276-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0500Medicare UPIN