| |
159 Jefferson Hts Suite D-107 Catskill NY 12414-1237 | |
(518) 828-9988 | |
(518) 828-9980 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 159 Jefferson Hts, Catskill, New York |
Authorized Official Name and Position | Bryan T Mahoney (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5186973230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2000 Hudson NY 12534-2000 Ph: (518) 828-8051 | 159 Jefferson Hts Suite D-107 Catskill NY 12414-1237 Ph: (518) 828-9988 |
NPI Number | 1912445412 |
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Provider Enumeration Date | 02/03/2017 |
Last Update Date | 02/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912445412 | NPI | - | NPPES |
03227290 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 1001000H (New York) | Primary |
Urgent Medical Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Grandview Ave, Catskill, NY 12414 Phone: 518-943-9100 Fax: 518-943-9101 | |
Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Jefferson Hts Ste D107, Catskill, NY 12414 Phone: 518-822-0746 |