Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Petersburg Medical Care LLC

Organization Family Medicine Physician · NPI 1437609807

St Petersburg Medical Care LLC is a Family Medicine Physician 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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