| Dryden Family Medicine, Pllc | |
|
5 Evergreen Street Dryden NY 13053 | |
| (607) 844-5251 | |
| Not Available |
| Full Name | Dryden Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Evergreen Street, Dryden, New York |
| Authorized Official Name and Position | Mason Michael Sopchak (PARTNER) |
| Authorized Official Contact | 6078448181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dryden Family Medicine, Pllc 108 E 14th St Elmira Heights NY 14903-1318 Ph: (607) 734-9539 | Dryden Family Medicine, Pllc 5 Evergreen Street Dryden NY 13053 Ph: (607) 844-5251 |
| NPI Number | 1689626053 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 10/28/2021 |
| Medicare PECOS PAC ID | 4385654706 |
|---|---|
| Medicare Enrollment ID | O20060501000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689626053 | NPI | - | NPPES |
| 03886197 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cindy Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538115449 PECOS PAC ID: 6709895246 Enrollment ID: I20060412000156 |
| Provider Name | Howard Silcoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730135963 PECOS PAC ID: 8921141797 Enrollment ID: I20100414000122 |
| Provider Name | William A Klepack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417902693 PECOS PAC ID: 1557371978 Enrollment ID: I20100812000632 |
| Provider Name | Donna L Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770638652 PECOS PAC ID: 4688836505 Enrollment ID: I20120510000017 |
| Provider Name | Mason M Sopchak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679808885 PECOS PAC ID: 0749424893 Enrollment ID: I20130911000835 |