| |
186 Village Sq, Painted Post, NY 14870-1320 | |
(607) 936-9985 | |
(607) 936-9991 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 186 Village Sq, Painted Post, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609984053 | NPI | - | NPPES |
01799673 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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111 E 14th St, Elmira Heights, NY 14903-1303 Ph: (607) 734-9539 | 186 Village Sq, Painted Post, NY 14870-1320 Ph: (607) 936-9985 |
James B Roush, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 186 Village Sq, Painted Post, NY 14870 Phone: 607-936-9985 Fax: 607-936-9991 |