Elena Schmuter Medical P.c. | |
43 Maple Run Ct Jericho NY 11753-2830 | |
(631) 271-9151 | |
Not Available |
Full Name | Elena Schmuter Medical P.c. |
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Speciality | Internal Medicine |
Location | 43 Maple Run Ct, Jericho, New York |
Authorized Official Name and Position | Elena A Schmuter (OWNER) |
Authorized Official Contact | 6312719151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elena Schmuter Medical P.c. Po Box 471 Jericho NY 11753-0471 Ph: (631) 271-9151 | Elena Schmuter Medical P.c. 43 Maple Run Ct Jericho NY 11753-2830 Ph: (631) 271-9151 |
NPI Number | 1659881977 |
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Provider Enumeration Date | 10/02/2017 |
Last Update Date | 10/02/2017 |
Medicare PECOS PAC ID | 9436417656 |
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Medicare Enrollment ID | O20171218000854 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659881977 | NPI | - | NPPES |
239634 | Other | NY | STATE OF NEW YORK EDUCATION DEPARTMENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 239634 (New York) | Primary |
Provider Name | Elena A Schmuter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659433126 PECOS PAC ID: 7810091816 Enrollment ID: I20070402000070 |
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