Family Medcare | |
7256 Route 209 Wawarsing NY 12489-2016 | |
(845) 728-8872 | |
Not Available |
Full Name | Family Medcare |
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Speciality | Internal Medicine |
Location | 7256 Route 209, Wawarsing, New York |
Authorized Official Name and Position | Lev Grinman (CO-OWNER) |
Authorized Official Contact | 6466731660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medcare 4 Legends Cir Melville NY 11747-5302 Ph: (646) 673-1666 | Family Medcare 7256 Route 209 Wawarsing NY 12489-2016 Ph: (845) 728-8872 |
NPI Number | 1750157111 |
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Provider Enumeration Date | 11/28/2023 |
Last Update Date | 03/05/2024 |
Medicare PECOS PAC ID | 1153769708 |
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Medicare Enrollment ID | O20240402003121 |
Identifier | Type | State | Issuer |
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1750157111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lev Grinman |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457511743 PECOS PAC ID: 7810011723 Enrollment ID: I20100830000714 |
Provider Name | Itay Keshet |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1053675207 PECOS PAC ID: 1355693771 Enrollment ID: I20220412001745 |
Provider Name | Fleeta Burgess Okolie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710121942 PECOS PAC ID: 6800065699 Enrollment ID: I20230125000301 |
Vladimir Andries Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7256 Route 209, Wawarsing, NY 12489 Phone: 845-647-5334 Fax: 845-294-4333 |