| Family Medicine Of Tarrytown & Ossining, Llp | |
|
200 S Broadway Suite A Tarrytown NY 10591-4500 | |
| (914) 631-1535 | |
| (914) 631-7654 |
| Full Name | Family Medicine Of Tarrytown & Ossining, Llp |
|---|---|
| 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 |
|---|---|
| Family Medicine Of Tarrytown & Ossining, Llp 200 S Broadway Suite A Tarrytown NY 10591-4500 Ph: (914) 631-1535 | Family Medicine Of Tarrytown & Ossining, Llp 200 S Broadway Suite A Tarrytown NY 10591-4500 Ph: (914) 631-1535 |
| NPI Number | 1336342864 |
|---|---|
| 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 |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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