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4080 State Route 28 Boiceville NY 12412-5128 | |
(845) 657-7820 | |
(845) 657-7834 |
Full Name | |
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Speciality | Family Medicine |
Location | 4080 State Route 28, Boiceville, New York |
Authorized Official Name and Position | Michael Doyle (VP FINANCE) |
Authorized Official Contact | 8454759661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1351 Route 55 Suite 200 Lagrangeville NY 12540-5108 Ph: (845) 475-9661 | 4080 State Route 28 Boiceville NY 12412-5128 Ph: (845) 657-7820 |
NPI Number | 1780038885 |
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Provider Enumeration Date | 04/15/2016 |
Last Update Date | 04/15/2016 |
Identifier | Type | State | Issuer |
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1780038885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |