Dr John C Devine, MD | |
15 Raymond St, Potsdam, NY 13676-1163 | |
(315) 265-9271 | |
Not Available |
Full Name | Dr John C Devine |
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Gender | Male |
Speciality | Pediatrics |
Location | 15 Raymond 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 |
---|---|---|---|
1710541438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 315559 (New York) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 250480 (North Carolina) | Secondary |
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 John C Devine, MD 23939 Co Rt 59, Dexter, NY 13634 Ph: (315) 778-3592 | Dr John C Devine, MD 15 Raymond St, Potsdam, NY 13676-1163 Ph: (315) 265-9271 |
Syed Armoghan Wali, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 | |
Peter P. Rajtar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 190 Outer Main St, Potsdam, NY 13676 Phone: 315-265-9271 Fax: 315-265-4206 | |
Dr. Heather Genevieve Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 | |
Cynthia Mondesir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 Fax: 315-265-4206 | |
Mrs. Marta Agnes Szoke, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Cottage St, Potsdam, NY 13676 Phone: 315-265-0907 Fax: 315-268-1017 |