| |
91 Montgomery St, Rhinebeck, NY 12572-1146 | |
(845) 476-1511 | |
(845) 876-0218 |
Full Name | |
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Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 91 Montgomery St, Rhinebeck, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194411710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Provider Name | Dany Y Jabbour |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1528073822 PECOS PAC ID: 8022011840 Enrollment ID: I20060817000259 |
Mailing Address | Practice Location Address |
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91 Montgomery St, Rhinebeck, NY 12572-1146 Ph: (845) 476-1511 | 91 Montgomery St, Rhinebeck, NY 12572-1146 Ph: (845) 476-1511 |