| Bethel Medical Associates Llc | |
|
10 Esquire Rd Suite 9 New City NY 10956-3336 | |
| (845) 499-2460 | |
| Not Available |
| Full Name | Bethel Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Esquire Rd, New City, New York |
| Authorized Official Name and Position | Stanley John (OWNER) |
| Authorized Official Contact | 8454992460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel Medical Associates Llc 10 Esquire Rd Ste 9 New City NY 10956-3336 Ph: (845) 499-2460 | Bethel Medical Associates Llc 10 Esquire Rd Suite 9 New City NY 10956-3336 Ph: (845) 499-2460 |
| NPI Number | 1316219256 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 10/26/2012 |
| Medicare PECOS PAC ID | 4688827116 |
|---|---|
| Medicare Enrollment ID | O20130114000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316219256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 225651 (New York) | Primary |
| 207R00000X | Internal Medicine | 259643 (New York) | Secondary |
| Provider Name | Stanley John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346272333 PECOS PAC ID: 2961480660 Enrollment ID: I20040709000607 |
| Provider Name | Asha John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356679823 PECOS PAC ID: 9234314527 Enrollment ID: I20130115000340 |
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