Eric Ten Brock Pulmonary Disease
462 Grider St, Fl 11, Buffalo, NY 14215-3021


Eric Ten Brock is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1124129820. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3274636030. The medical credential is MD. The primary specialty is PULMONARY DISEASE. The organization is ACADEMIC MEDICINE SERVICES, INC.. The address is 462 Grider St, Fl 11, Buffalo, NY 14215-3021. The zip code is 14215.


Eric Ten Brock · 462 Grider St, Fl 11, Buffalo, NY 14215-3021

Nation Provider ID 1124129820
PAC ID by PECOS 3274636030
Professional Enrollment ID I20070315000146
Last Name TEN BROCK
First Name ERIC
Gender M
Credential MD
Medical School Name STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year 1980
Primary Specialty PULMONARY DISEASE
Secondary Specialties INTERNAL MEDICINE
Primary Specialty ACADEMIC MEDICINE SERVICES, INC.
Phone Number 7168984803
Group Practice PAC ID 0941105241
Number of Group Practice Members 199
Address 462 GRIDER ST
FL 11
BUFFALO, NY 142153021
Claims Based Hospital Affiliation Claim Control Number (CCN): 330103
Legal Business Name: OLEAN GENERAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 330073
Legal Business Name: UNITED MEMORIAL MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y

street_number: 462
route: Grider Street (Grider St)
neighborhood, political: Grider
locality, political: Buffalo
admin_level_2, political: Erie County
admin_level_1, political: New York (NY)
country, political: United States (US)
postal_code: 14215
postal_code_suffix: 3021
types : street_address
latitude: 42.9254225
longitude: -78.8313324
latlng: (42.9254225, -78.8313324)


Academic Medicine Services, Inc. · Medicare Physician

Name Address Specialty
Joshua Washburn 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Jill Ratchuk 100 High St, Buffalo, NY 14203-1126 NURSE PRACTITIONER
Alyssa Shon 462 Grider St, Buffalo, NY 14215-3021 INFECTIOUS DISEASE
Dalinda Condino 462 Grider St, Buffalo, NY 14215-3021 PEDIATRIC MEDICINE
Richard Quigg 462 Grider St, Buffalo, NY 14215-3021 NEPHROLOGY
Rebecca Calabrese 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Patricia Smith 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Naveed Shahid 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Jeong Min Kim 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Sean Brady 1020 Youngs Rd, Williamsville, NY 14221-2698 ALLERGY/IMMUNOLOGY
Janina Davis 100 High St, Buffalo, NY 14203-1126 NURSE PRACTITIONER
Mahmoud Ismail 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Natasha Kleiman 100 High St, Buffalo, NY 14203-1126 NURSE PRACTITIONER
Ann Sweet 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Ryosuke Osawa 462 Grider St, Buffalo, NY 14215-3021 INFECTIOUS DISEASE
Susan Glose 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Jan Novak 462 Grider St, Buffalo, NY 14215-3021 GASTROENTEROLOGY
Jennifer Henderson 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Rocco Venuto 462 Grider St, Buffalo, NY 14215-3021 NEPHROLOGY
Vincent Lee 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE

Zip 14215 · Pulmonary Disease · Medicare Physician

Name Address Specialty
M Jeffery Mador 462 Grider St, Buffalo, NY 14215-3021 PULMONARY DISEASE
Jamie Nadler 462 Grider St, Buffalo, NY 14215-3021 PULMONARY DISEASE
Karin Provost 462 Grider St, Buffalo, NY 14215-3021 PULMONARY DISEASE
Ravi Desai 462 Grider St, Buffalo, NY 14215-3021 PULMONARY DISEASE
William Gibbons 462 Grider St, Buffalo, NY 14215-3021 PULMONARY DISEASE

Zip 14215 · Medicare Physician

Name Address Specialty
Andrew Warner 1616 Kensington Ave, Buffalo, NY 14215-1433 INTERNAL MEDICINE
Terrence Mclean 462 Grider St, Buffalo, NY 14215-3021 ORAL SURGERY
Matthew Ruggieri 462 Grider St, Buffalo, NY 14215-3021 PSYCHIATRY
Amy Corcoran 3435 Bailey Ave, Buffalo, NY 14215-1145 PHYSICIAN ASSISTANT
Richard Schifeling 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Jennifer Oswald 462 Grider St, Buffalo, NY 14215-3021 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Beth Edwards 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Cortney Stobnicki 462 Grider St, Buffalo, NY 14215-3021 CERTIFIED REGISTERED NURSE ANESTHETIST
Jeffrey Brewer 462 Grider St, Buffalo, NY 14215-3021 GENERAL SURGERY
Bruce Troen 462 Grider St, Buffalo, NY 14215-3021 GERIATRIC MEDICINE
Richard Ferguson 462 Grider St, Buffalo, NY 14215-3021 NEUROLOGY
Ashley Provenzo 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Raphael Leo 462 Grider St, Buffalo, NY 14215-3021 PSYCHIATRY
Michael Chopko 462 Grider St, Buffalo, NY 14215-3021 GENERAL SURGERY
Lynnette Luksch 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Mohan Madhusudanan 3435 Bailey Ave, Buffalo, NY 14215-1145 INTERNAL MEDICINE
Joshua Washburn 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Osman Farooq 462 Grider St, Buffalo, NY 14215-3021 NEUROLOGY
Emma Byrd 462 Grider St 9th Fl, Buffalo, NY 14215-3021 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Kathleen Grimm 462 Grider St, Buffalo, NY 14215-3021 HOSPICE/PALLIATIVE CARE