Carl Mcdougall, Md Pc | |
17 Squadron Blvd Suite 400 New City NY 10956-5214 | |
(845) 634-6500 | |
(845) 634-9424 |
Full Name | Carl Mcdougall, Md Pc |
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Speciality | Internal Medicine |
Location | 17 Squadron Blvd, New City, New York |
Authorized Official Name and Position | Marie Farrell (DIRECTOR CODING) |
Authorized Official Contact | 8456346500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carl Mcdougall, Md Pc 38 E 57th St Fl 7 New York NY 10022-8515 Ph: (845) 634-6500 | Carl Mcdougall, Md Pc 17 Squadron Blvd Suite 400 New City NY 10956-5214 Ph: (845) 634-6500 |
NPI Number | 1427268127 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4284524745 |
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Medicare Enrollment ID | O20040318000055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427268127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 156743 (New York) | Primary |
Provider Name | Carl J Mcdougall |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1184672149 PECOS PAC ID: 2264615095 Enrollment ID: I20110331000494 |
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