Raymond A Maddocks, MD | |
102 Park Street, Suite 201, Glens Falls, NY 12801 | |
(518) 798-1719 | |
(518) 798-1943 |
Full Name | Raymond A Maddocks |
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Gender | Male |
Speciality | Urology |
Location | 102 Park Street, Glens Falls, 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 |
---|---|---|---|
1598815714 | NPI | - | NPPES |
00806515 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 137920 (New York) | Primary |
Entity Name | Community Work And Independence Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114131075 PECOS PAC ID: 2961462924 Enrollment ID: O20041013001321 |
Mailing Address | Practice Location Address |
---|---|
Raymond A Maddocks, MD 102 Park Street, Suite 201, Glens Falls, NY 12801 Ph: (518) 798-1719 | Raymond A Maddocks, MD 102 Park Street, Suite 201, Glens Falls, NY 12801 Ph: (518) 798-1719 |
Peter M Hughes, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 526 Glen St, Glens Falls, NY 12801 Phone: 518-792-5340 Fax: 518-792-5908 | |
Harry H. Slatch, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 14 Hudson Avenue, Surgical Specialists Of Glens Falls Hospital - Urology, Glens Falls, NY 12801 Phone: 518-926-5600 Fax: 518-926-5605 | |
Vincent T Cooper, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 14 Hudson Avenue, Surgical Specialists Of Glens Falls Hospial, Glens Falls, NY 12801 Phone: 518-926-5600 Fax: 518-926-5605 | |
Brian King, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 102 Park Street, Suite 201, Glens Falls, NY 12801 Phone: 518-798-1719 Fax: 518-798-1943 | |
Samuel M Gottesman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 102 Park St, Suite 201, Glens Falls, NY 12801 Phone: 518-798-1719 Fax: 518-798-1943 |