| Axis Medical Pllc | |
|
9 Livingston St Suite 2-s Poughkeepsie NY 12601-4719 | |
| (845) 473-8996 | |
| (845) 473-8997 |
| Full Name | Axis Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9 Livingston St, Poughkeepsie, New York |
| Authorized Official Name and Position | Deepesh Patel (PRESIDENT) |
| Authorized Official Contact | 8454738996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Medical Pllc Po Box 852 Poughkeepsie NY 12602-0852 Ph: (845) 473-8996 | Axis Medical Pllc 9 Livingston St Suite 2-s Poughkeepsie NY 12601-4719 Ph: (845) 473-8996 |
| NPI Number | 1538333885 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 0648330993 |
|---|---|
| Medicare Enrollment ID | O20081121000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538333885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
| Provider Name | Deepesh S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720022486 PECOS PAC ID: 7810888716 Enrollment ID: I20040322000698 |
| Provider Name | Christine M Via |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366727513 PECOS PAC ID: 1355516048 Enrollment ID: I20111207000786 |
| Provider Name | Sheri A Riker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789841 PECOS PAC ID: 9436433794 Enrollment ID: I20170306000157 |
| Provider Name | Michael Vincent Motise-pacier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659822849 PECOS PAC ID: 1456622109 Enrollment ID: I20170731000664 |
| Provider Name | Heather S O'keeffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114424249 PECOS PAC ID: 4587929872 Enrollment ID: I20180608000228 |
| Provider Name | Julio Cesar Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356889786 PECOS PAC ID: 2769727411 Enrollment ID: I20181227001310 |
| Provider Name | Magen Mullaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063759629 PECOS PAC ID: 7214231158 Enrollment ID: I20190222000860 |
| Provider Name | Valentina Glebova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588341044 PECOS PAC ID: 3173986304 Enrollment ID: I20230905003746 |
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