National Provider Identifier
Maria Jerevasimeonova, M.D.
Maria Jerevasimeonova, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Niagara Falls, NY and a listed phone number of (716) 298-0975.
Profile Overview
- NPI
- 1285616425
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- November 15, 2005
- Last Updated
- April 12, 2018
Practice Location
- 10175 Niagara Falls Blvd Ste 1
- Niagara Falls, NY 14304-2941
Phone: (716) 298-0975
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1285616425
- Entity Type
- Individual
- Last Name
- Jerevasimeonova
- First Name
- Maria
- Credential
- M.D.
- Mailing Street Address
- 10175 Niagara Falls Blvd Ste 1
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-2941
- Mailing Country
- US
- Mailing Phone
- (716) 298-0975
- Mailing Fax
- (716) 298-0956
- Practice Street Address
- 10175 Niagara Falls Blvd Ste 1
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-2941
- Practice Country
- US
- Practice Phone
- (716) 298-0975
- Practice Fax
- (716) 298-0956
- Enumeration Date
- November 15, 2005
- Last Updated
- April 12, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)