| |
200 S Broadway Suite A Tarrytown NY 10591-4500 | |
(914) 631-1535 | |
(914) 631-7654 |
Full Name | |
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Speciality | Family Medicine |
Location | 200 S Broadway, Tarrytown, New York |
Authorized Official Name and Position | Yamilis De Jesus (BUSINESS MANAGER) |
Authorized Official Contact | 9146311535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 S Broadway Suite A Tarrytown NY 10591-4500 Ph: (914) 631-1535 | 200 S Broadway Suite A Tarrytown NY 10591-4500 Ph: (914) 631-1535 |
NPI Number | 1336342864 |
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Provider Enumeration Date | 06/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336342864 | NPI | - | NPPES |
01634037 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Elio J Ippolito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Broadway, Suite A, Tarrytown, NY 10591 Phone: 914-332-1533 Fax: 914-332-1556 | |
New York University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 White Plains Rd Fl 4, Tarrytown, NY 10591 Phone: 914-556-4930 Fax: 914-631-1949 | |
Mmc Tarrytown Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 South Broadway, Mmc Tarrytown Practice, Tarrytown, NY 10591 Phone: 914-377-4722 | |