| Central Leatherstocking Medical, Pllc | |
|
943 Us Highway 20 West Winfield NY 13491-1920 | |
| (315) 822-3200 | |
| (315) 822-5193 |
| Full Name | Central Leatherstocking Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 943 Us Highway 20, West Winfield, New York |
| Authorized Official Name and Position | Joseph C Booth (PHYSICIAN) |
| Authorized Official Contact | 3158223200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Leatherstocking Medical, Pllc 943 Us Highway 20 West Winfield NY 13491 Ph: (315) 822-3200 | Central Leatherstocking Medical, Pllc 943 Us Highway 20 West Winfield NY 13491-1920 Ph: (315) 822-3200 |
| NPI Number | 1578585014 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578585014 | NPI | - | NPPES |
| 02702638 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 175678 (New York) | Primary |
Little Falls Hospital West Winfield Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 544 E Main St, West Winfield, NY 13491 Phone: 315-822-6348 Fax: 315-822-5600 |