Alternative Aging & Medispa | |
1388 Cosgrove St Watertown NY 13601-4544 | |
(315) 777-2749 | |
Not Available |
Full Name | Alternative Aging & Medispa |
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Speciality | Family Medicine |
Location | 1388 Cosgrove St, Watertown, New York |
Authorized Official Name and Position | Phyl Mckinney (OWNER/MEMBER) |
Authorized Official Contact | 3157772749 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alternative Aging & Medispa 1388 Cosgrove St Watertown NY 13601-4544 Ph: (315) 777-2749 | Alternative Aging & Medispa 1388 Cosgrove St Watertown NY 13601-4544 Ph: (315) 777-2749 |
NPI Number | 1700471158 |
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Provider Enumeration Date | 03/08/2021 |
Last Update Date | 03/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700471158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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