Endwell Family Physicians Llp | |
415 Hooper Rd Endwell NY 13760-3698 | |
(607) 754-3863 | |
(607) 754-5697 |
Full Name | Endwell Family Physicians Llp |
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Speciality | Family Medicine |
Location | 415 Hooper Rd, Endwell, New York |
Authorized Official Name and Position | Jonathan A Harris (PARTNER) |
Authorized Official Contact | 6077543863 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Endwell Family Physicians Llp 415 Hooper Rd Endwell NY 13760-3698 Ph: (607) 754-3863 | Endwell Family Physicians Llp 415 Hooper Rd Endwell NY 13760-3698 Ph: (607) 754-3863 |
NPI Number | 1871512947 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 04/01/2008 |
Medicare PECOS PAC ID | 9537063987 |
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Medicare Enrollment ID | O20031126000305 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871512947 | NPI | - | NPPES |
00557575 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Helen E Battisti |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1992885651 PECOS PAC ID: 7416941935 Enrollment ID: I20040408001048 |
Provider Name | Laurie K Belknap |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508096181 PECOS PAC ID: 6305982786 Enrollment ID: I20091015000504 |
Provider Name | Suchet R Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942229018 PECOS PAC ID: 4486795564 Enrollment ID: I20100112000234 |
Provider Name | Kimberly M Desantis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376578724 PECOS PAC ID: 9739163908 Enrollment ID: I20100112000252 |
Provider Name | Rekha S Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578598843 PECOS PAC ID: 0648311720 Enrollment ID: I20100112000264 |
Provider Name | James C Holler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295755478 PECOS PAC ID: 1850295213 Enrollment ID: I20100112000282 |
Provider Name | John S Perry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942220223 PECOS PAC ID: 0840194205 Enrollment ID: I20100112000298 |
Provider Name | Lazarus B Gehring |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629001722 PECOS PAC ID: 4587705678 Enrollment ID: I20100112000317 |
Provider Name | Bruce T Bowling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407881832 PECOS PAC ID: 2860396215 Enrollment ID: I20100112000326 |
Provider Name | Jonathan A Harris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376563551 PECOS PAC ID: 5496659856 Enrollment ID: I20100112000343 |
Provider Name | Duncan Sze-tu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467472647 PECOS PAC ID: 5395649750 Enrollment ID: I20100112000360 |
Provider Name | Demetrios Gasparis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427217140 PECOS PAC ID: 2163551664 Enrollment ID: I20100521000073 |
Provider Name | Gloria J Block |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528093978 PECOS PAC ID: 5496947657 Enrollment ID: I20101006000248 |
Provider Name | Anne E Lindsay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871804120 PECOS PAC ID: 3173719481 Enrollment ID: I20101130000006 |
Provider Name | Trichelle L Feheley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518275023 PECOS PAC ID: 3476734385 Enrollment ID: I20110225000353 |
Provider Name | Eric J Lorraine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801114285 PECOS PAC ID: 6002041068 Enrollment ID: I20131028001980 |
Provider Name | Teresa A Antalek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457790370 PECOS PAC ID: 1557592383 Enrollment ID: I20140320000937 |
Provider Name | Caitlyn E Burford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952695868 PECOS PAC ID: 5890915243 Enrollment ID: I20141007000185 |
Provider Name | Michael T Federico |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740574383 PECOS PAC ID: 5597997106 Enrollment ID: I20141104001239 |
Provider Name | Matthew Demtrak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396260352 PECOS PAC ID: 9638443500 Enrollment ID: I20170918000342 |
Provider Name | Betsy Marie Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932625142 PECOS PAC ID: 1153696000 Enrollment ID: I20171003007363 |
Provider Name | Sally Hartwick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275023020 PECOS PAC ID: 2668877721 Enrollment ID: I20210827000660 |
Provider Name | Anndrea Elizabeth Bohn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982197711 PECOS PAC ID: 5698172849 Enrollment ID: I20210930001861 |
Provider Name | Lauren Castellucci |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1235897984 PECOS PAC ID: 1850783531 Enrollment ID: I20220111000048 |
Provider Name | Maura Lynn Naro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831965532 PECOS PAC ID: 2062850837 Enrollment ID: I20240329002259 |