Bethel Medical Family Practice,pc | |
1522 State Route 17b White Lake NY 12786-5428 | |
(845) 583-5620 | |
(845) 583-8084 |
Full Name | Bethel Medical Family Practice,pc |
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Speciality | Family Medicine |
Location | 1522 State Route 17b, White Lake, New York |
Authorized Official Name and Position | Imran Ahmed (OWNER) |
Authorized Official Contact | 8455835620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bethel Medical Family Practice,pc 1522 State Route 17b Po Box 570 White Lake NY 12786-5428 Ph: (845) 583-5620 | Bethel Medical Family Practice,pc 1522 State Route 17b White Lake NY 12786-5428 Ph: (845) 583-5620 |
NPI Number | 1982718607 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 12/28/2007 |
Identifier | Type | State | Issuer |
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1982718607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |