Dr Jan Stephen Close, MD | |
50 Leroy St, Potsdam, NY 13676-1786 | |
(315) 265-3300 | |
Not Available |
Full Name | Dr Jan Stephen Close |
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Gender | Male |
Speciality | Internal Medicine |
Location | 50 Leroy St, Potsdam, 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 |
---|---|---|---|
1891867180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 151077 (New York) | Primary |
Entity Name | Canton-potsdam Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
Mailing Address | Practice Location Address |
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Dr Jan Stephen Close, MD 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 | Dr Jan Stephen Close, MD 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 |
Dr. Velmalia Danette Matthews-smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Alfred Kokwaro, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Dr. John Ho Kim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-5607 | |
James Vecchio, Internal Medicine Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-4498 | |
Jayaram Radhakrishnan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 153-274-9102 | |
Dr. Rajiv S Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-261-4493 Fax: 315-261-4498 | |
Eric L Walter, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |