Coxsackie Family Practice | |
24 Lafayette Ave Coxsackie NY 12051-1305 | |
(518) 731-7777 | |
Not Available |
Full Name | Coxsackie Family Practice |
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Speciality | Family Medicine |
Location | 24 Lafayette Ave, Coxsackie, New York |
Authorized Official Name and Position | Salvatore Licciardi (PHYSICIAN) |
Authorized Official Contact | 5187317777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coxsackie Family Practice Po Box 215 Slingerlands NY 12159-0215 Ph: (518) 731-7777 | Coxsackie Family Practice 24 Lafayette Ave Coxsackie NY 12051-1305 Ph: (518) 731-7777 |
NPI Number | 1114116845 |
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Provider Enumeration Date | 10/18/2007 |
Last Update Date | 11/28/2007 |
Identifier | Type | State | Issuer |
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1114116845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 169373 (New York) | Primary |
Cmh-lafayette Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Lafayette Ave, Coxsackie, NY 12051 Phone: 518-731-7770 |