NPI: 1184873770 · LACKAWANNA, NY 14218 · Internal Medicine Physician · NPI assigned 09/18/2008
| Authorized Official | ANDAYA, MARIA RITA (OWNER) |
| NPI Enumeration Date | 09/18/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15 | 14 | $1K |