Daniel J. Arenos Md Pc | |
2093 Western Avenue Guilderland NY 12084-9559 | |
(518) 456-4200 | |
(518) 456-4220 |
Full Name | Daniel J. Arenos Md Pc |
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Speciality | Family Medicine |
Location | 2093 Western Avenue, Guilderland, New York |
Authorized Official Name and Position | Daniel J. Arenos (MD/OWNER) |
Authorized Official Contact | 5184564200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daniel J. Arenos Md Pc 2093 Western Avenue Guilderland NY 12084-9559 Ph: (518) 456-4200 | Daniel J. Arenos Md Pc 2093 Western Avenue Guilderland NY 12084-9559 Ph: (518) 456-4200 |
NPI Number | 1326093220 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 08/14/2009 |
Medicare PECOS PAC ID | 1355312414 |
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Medicare Enrollment ID | O20040803000454 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326093220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 180403-1 (New York) | Primary |
207R00000X | Internal Medicine | 180403 (New York) | Secondary |
Provider Name | Daniel J Arenos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285604231 PECOS PAC ID: 1153392212 Enrollment ID: I20040806000755 |
Provider Name | Sally Delory |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912491002 PECOS PAC ID: 0042569782 Enrollment ID: I20180814002175 |
Provider Name | Tracy J Salisbury |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497380786 PECOS PAC ID: 8628497690 Enrollment ID: I20200925000442 |
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