Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Petersburg Medical Care LLC

Organization Family Medicine Physician · NPI 1437609807

St Petersburg Medical Care LLC provides Family Medicine Physician services in Lockport, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 E Ave
Lockport, NY 14094-3812
Phone: (716) 438-3546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 202334 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 202334 (NY)

Record details

NPI number1437609807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Khalaf — Manager · (716) 438-3546
NPI enumeratedOctober 10, 2016
Last updated in NPPESOctober 10, 2016
Mailing address2001 16th St N, Attn:Paul C Jensen, St Petersburg, FL 33704-3921

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