| Ellenville Medical Group | |
|
60 Center St Ellenville NY 12428-1313 | |
| (845) 647-3354 | |
| (845) 647-7487 |
| Full Name | Ellenville Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Center St, Ellenville, New York |
| Authorized Official Name and Position | Walter L Sperling (OWNER) |
| Authorized Official Contact | 8456475300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellenville Medical Group 60 Center St Ellenville NY 12428-1313 Ph: (845) 647-3354 | Ellenville Medical Group 60 Center St Ellenville NY 12428-1313 Ph: (845) 647-3354 |
| NPI Number | 1831222058 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831222058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 095044 (New York) | Primary |
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