| Services For Preferred Medical Patients, Llc | |
|
200 E Route 59 Suite 8 Nanuet NY 10954-2909 | |
| (845) 507-0442 | |
| (845) 507-0501 |
| Full Name | Services For Preferred Medical Patients, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 E Route 59, Nanuet, New York |
| Authorized Official Name and Position | Clovis Raymond (MD) |
| Authorized Official Contact | 5613241581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Services For Preferred Medical Patients, Llc 200 E Route 59 Suite 8 Nanuet NY 10954-2909 Ph: (845) 507-0442 | Services For Preferred Medical Patients, Llc 200 E Route 59 Suite 8 Nanuet NY 10954-2909 Ph: (845) 507-0442 |
| NPI Number | 1386920601 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Medicare PECOS PAC ID | 8224282231 |
|---|---|
| Medicare Enrollment ID | O20130129000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386920601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 253550 (New York) | Primary |
| Provider Name | Clovis Raymond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902034051 PECOS PAC ID: 5991975278 Enrollment ID: I20110823000987 |
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