Gordon P. Tussing, D.o., P.c. | |
4643 Main St Snyder NY 14226-4551 | |
(716) 839-9113 | |
(716) 839-3771 |
Full Name | Gordon P. Tussing, D.o., P.c. |
---|---|
Speciality | Internal Medicine |
Location | 4643 Main St, Snyder, New York |
Authorized Official Name and Position | Gordon P Tussing (PRESIDENT) |
Authorized Official Contact | 7168399113 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gordon P. Tussing, D.o., P.c. 4643 Main St Snyder NY 14226-4551 Ph: (716) 839-9113 | Gordon P. Tussing, D.o., P.c. 4643 Main St Snyder NY 14226-4551 Ph: (716) 839-9113 |
NPI Number | 1922300375 |
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Provider Enumeration Date | 11/17/2010 |
Last Update Date | 04/11/2024 |
Medicare PECOS PAC ID | 9931388873 |
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Medicare Enrollment ID | O20110125000752 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922300375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 212802 (New York) | Primary |
Provider Name | Gordon P Tussing |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750323291 PECOS PAC ID: 7911186853 Enrollment ID: I20110125000786 |
Pramod Luthra Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Kensington Ave, Snyder, NY 14226 Phone: 715-839-1161 Fax: 716-839-4683 | |
Monica Luthra Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Kensington Ave, Snyder, NY 14226 Phone: 716-839-1161 Fax: 716-839-1216 |