| Family Practice Center Of Ellenville | |
|
6 Healthy Way Ellenville NY 12428-5612 | |
| (845) 647-4500 | |
| (845) 647-7632 |
| Full Name | Family Practice Center Of Ellenville |
|---|---|
| Speciality | Family Medicine |
| Location | 6 Healthy Way, Ellenville, New York |
| Authorized Official Name and Position | Neil Calman (PRESIDENT AND CEO) |
| Authorized Official Contact | 2126330800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center Of Ellenville Cl # 4655 Po Box 95000 Philadelphia PA 19195-4655 Ph: (845) 255-3435 | Family Practice Center Of Ellenville 6 Healthy Way Ellenville NY 12428-5612 Ph: (845) 647-4500 |
| NPI Number | 1699048751 |
|---|---|
| Provider Enumeration Date | 02/20/2012 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 9234048588 |
|---|---|
| Medicare Enrollment ID | O20070420000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699048751 | NPI | - | NPPES |
| 00903700 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Progressive Psychotherapy, Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1646 Ulster Heights Rd, Ellenville, NY 12428 Phone: 860-995-3457 Fax: 888-975-1417 | |
Jasforensics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Seigel Rd, Ellenville, NY 12428 Phone: 917-346-7479 |