Andrew Polakovsky, Md, Pc | |
310 Mulberry St Scottdale PA 15683-1704 | |
(724) 887-3911 | |
(724) 887-0998 |
Full Name | Andrew Polakovsky, Md, Pc |
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Speciality | Family Medicine |
Location | 310 Mulberry St, Scottdale, Pennsylvania |
Authorized Official Name and Position | Andrew G Polokovsky (PRESIDENT) |
Authorized Official Contact | 7248873911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Andrew Polakovsky, Md, Pc 310 Mulberry St Scottdale PA 15683-1704 Ph: (724) 887-3911 | Andrew Polakovsky, Md, Pc 310 Mulberry St Scottdale PA 15683-1704 Ph: (724) 887-3911 |
NPI Number | 1821195538 |
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Provider Enumeration Date | 09/17/2006 |
Last Update Date | 07/24/2012 |
Medicare PECOS PAC ID | 0648218578 |
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Medicare Enrollment ID | O20050421000456 |
Identifier | Type | State | Issuer |
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1821195538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Andrew Gerard Polakovsky |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558468264 PECOS PAC ID: 2264470194 Enrollment ID: I20050422000116 |
Fay West Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Crossroads Rd, Suite 201, Scottdale, PA 15683 Phone: 724-887-5989 Fax: 724-887-0129 |