| Vitae Health Medical New York Pc | |
|
99 Golden Hill Dr Kingston NY 12401-6442 | |
| (845) 340-3390 | |
| Not Available |
| Full Name | Vitae Health Medical New York Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 99 Golden Hill Dr, Kingston, New York |
| Authorized Official Name and Position | Amish Patel (PRESIDENT) |
| Authorized Official Contact | 2247778045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Medical New York Pc 415 W Golf Rd Ste 26 Arlington Heights IL 60005-3923 Ph: (224) 777-8045 | Vitae Health Medical New York Pc 99 Golden Hill Dr Kingston NY 12401-6442 Ph: (845) 340-3390 |
| NPI Number | 1568169134 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 6901268820 |
|---|---|
| Medicare Enrollment ID | O20230809002510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568169134 | NPI | - | NPPES |
| Provider Name | Jackie Davi Parisi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053726679 PECOS PAC ID: 3476989609 Enrollment ID: I20200207000631 |
| Provider Name | Tracie Caccavale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720499148 PECOS PAC ID: 4284029141 Enrollment ID: I20220312000003 |
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