| Efp Riverside Dr | |
|
240 Riverside Dr Johnson City NY 13790-2732 | |
| (607) 754-3863 | |
| (607) 754-5697 |
| Full Name | Efp Riverside Dr |
|---|---|
| Speciality | Family Medicine |
| Location | 240 Riverside Dr, Johnson City, New York |
| Authorized Official Name and Position | Kimberly M Desantis (PARTNER) |
| Authorized Official Contact | 6077543863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Efp Riverside Dr 415 Hooper Rd Endwell NY 13760-3646 Ph: (607) 754-3863 | Efp Riverside Dr 240 Riverside Dr Johnson City NY 13790-2732 Ph: (607) 754-3863 |
| NPI Number | 1922362672 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922362672 | NPI | - | NPPES |
| 00557575 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Southern Tier Family Nurse Practitioner Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Columbia Dr Ste 203, Johnson City, NY 13790 Phone: 607-677-0011 | |
Handicapped Childrens Assn Of Southern Ny Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Broad St, Johnson City, NY 13790 Phone: 607-217-0066 | |
Carpathian Dental Assoc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Columbia Drive, Johnson City, NY 13790 Phone: 607-770-1122 Fax: 607-770-1176 | |
United Health Services Hospitals, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St., Johnson City, NY 13790 Phone: 607-762-3027 |