| Geriatric Medical Service Of Westchester Pc | |
|
11 Dellwood Ln Ardsley NY 10502-1309 | |
| (914) 231-5725 | |
| Not Available |
| Full Name | Geriatric Medical Service Of Westchester Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Dellwood Ln, Ardsley, New York |
| Authorized Official Name and Position | Devang Dave (PRESIDENT) |
| Authorized Official Contact | 9145726128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Medical Service Of Westchester Pc 11 Dellwood Ln Ardsley NY 10502-1309 Ph: () - | Geriatric Medical Service Of Westchester Pc 11 Dellwood Ln Ardsley NY 10502-1309 Ph: (914) 231-5725 |
| NPI Number | 1174795280 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 10/06/2011 |
| Medicare PECOS PAC ID | 2365334273 |
|---|---|
| Medicare Enrollment ID | O20111128000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174795280 | NPI | - | NPPES |
| 02111306 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 187890 (New York) | Primary |
| Provider Name | Devang M Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487728317 PECOS PAC ID: 4486840782 Enrollment ID: I20101129000929 |
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