| Dutchess Medical Associate, Pc | |
|
841 Route 52 Suite 6 Fishkill NY 12524-1516 | |
| (845) 831-0471 | |
| Not Available |
| Full Name | Dutchess Medical Associate, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 841 Route 52, Fishkill, New York |
| Authorized Official Name and Position | Philip Totonelly (OWNER) |
| Authorized Official Contact | 8458310471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dutchess Medical Associate, Pc 841 Route 52 Suite 6 Fishkill NY 12524-1516 Ph: (845) 831-0471 | Dutchess Medical Associate, Pc 841 Route 52 Suite 6 Fishkill NY 12524-1516 Ph: (845) 831-0471 |
| NPI Number | 1417357716 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 09/18/2014 |
| Medicare PECOS PAC ID | 4082504360 |
|---|---|
| Medicare Enrollment ID | O20090414000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417357716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 140194 (New York) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 140194 (New York) | Secondary |
| Provider Name | Philip R Totonelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821180399 PECOS PAC ID: 7719985225 Enrollment ID: I20091009000051 |
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