Dr Gary Koutcher, MD | |
68 Harris Bushville Rd, Harris, NY 12742 | |
(845) 791-7828 | |
Not Available |
Full Name | Dr Gary Koutcher |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 68 Harris Bushville Rd, Harris, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477622884 | NPI | - | NPPES |
00382178 | Medicaid | NY | |
8747407 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 25MA07301100 (New Jersey) | Secondary |
207P00000X | Emergency Medicine | 138528 (New York) | Primary |
Entity Name | Sullivan Emergency Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528338480 PECOS PAC ID: 7719146927 Enrollment ID: O20120307000760 |
Mailing Address | Practice Location Address |
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Dr Gary Koutcher, MD 68 Harris Bushville Rd, Harris, NY 12742 Ph: (845) 791-7828 | Dr Gary Koutcher, MD 68 Harris Bushville Rd, Harris, NY 12742 Ph: (845) 791-7828 |
James Dwyer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Harris Bushville Road, Catskill Regional Medical Center, Harris, NY 12742 Phone: 845-794-3300 | |
Stuart Resch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Catskill Regional Medical Center (emergency Department), 63 Harris Bushville Road, Harris, NY 12742 Phone: 845-794-3300 | |
John Bertolini, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Catskill Regional Medical Center, 63 Harris Bushville Road, Harris, NY 12742 Phone: 845-794-3300 | |
Thomas Mankiewicz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 63 Harris Bushville Ro, Catskill Regional Medical Center, Harris, NY 12742 Phone: 845-794-3300 |