Family Practice Center Of Kingston | |
1 Family Practice Dr Kingston NY 12401-6449 | |
(845) 338-6400 | |
(845) 339-7288 |
Full Name | Family Practice Center Of Kingston |
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Speciality | Family Medicine |
Location | 1 Family Practice Dr, Kingston, 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 |
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Family Practice Center Of Kingston Cl # 4655 Po Box 95000 Philadelphia PA 19195-4655 Ph: (845) 255-3435 | Family Practice Center Of Kingston 1 Family Practice Dr Kingston NY 12401-6449 Ph: (845) 338-6400 |
NPI Number | 1477827624 |
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Provider Enumeration Date | 03/06/2012 |
Last Update Date | 04/01/2024 |
Certification Date | 04/01/2024 |
Medicare PECOS PAC ID | 9234048588 |
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Medicare Enrollment ID | O20070419000115 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477827624 | NPI | - | NPPES |
00903700 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Physician At Newburgh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 396 Broadway, Kingston, NY 12401 Phone: 845-331-3131 | |
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