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68 Harris Bushville Rd Harris NY 12742 | |
(845) 794-3300 | |
(845) 794-1052 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 68 Harris Bushville Rd, Harris, New York |
Authorized Official Name and Position | Robert Davison (DIRECTOR OF BUDGET, REIMBURSEMENT) |
Authorized Official Contact | 8453337446 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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68 Harris Bushville Rd Monticello NY 12701-3027 Ph: (845) 794-3300 | 68 Harris Bushville Rd Harris NY 12742 Ph: (845) 794-3300 |
NPI Number | 1205096278 |
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Provider Enumeration Date | 06/13/2008 |
Last Update Date | 06/02/2020 |
Certification Date | 06/02/2020 |
Medicare PECOS PAC ID | 4688666829 |
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Medicare Enrollment ID | O20061220000403 |
Identifier | Type | State | Issuer |
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1205096278 | NPI | - | NPPES |
02978536 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | 5263000H (New York) | Primary |