| Faculty Group Practice | |
|
21 Laurel Ave Ste 240 Faculty Group Practice St Luke's Cornwall Hospital Cornwall NY 12518-1476 | |
| (845) 458-4876 | |
| (845) 458-4560 |
| Full Name | Faculty Group Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Laurel Ave Ste 240, Cornwall, New York |
| Authorized Official Name and Position | Jill G Barton (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 8454584023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Group Practice 21 Laurel Ave Ste 240 Faculty Group Practice St Luke's Cornwall Hospital Cornwall NY 12518-1476 Ph: (845) 458-4876 | Faculty Group Practice 21 Laurel Ave Ste 240 Faculty Group Practice St Luke's Cornwall Hospital Cornwall NY 12518-1476 Ph: (845) 458-4876 |
| NPI Number | 1033361340 |
|---|---|
| Provider Enumeration Date | 10/17/2008 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033361340 | NPI | - | NPPES |
| 03121666 | Medicaid | NY |
G. S. Mehar Physician, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Elm St, Cornwall, NY 12518 Phone: 845-534-7700 Fax: 845-534-3674 | |
Prestige Physicians Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Willow Ave, Cornwall, NY 12518 Phone: 845-565-1771 Fax: 845-565-4941 |