Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 128 North Ave, Owego, New York |
Authorized Official Name and Position | Joseph A Scopelliti (PRESIDENT) |
Authorized Official Contact | 5708885858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1 Guthrie Sq Sayre PA 18840-1625 Ph: (570) 888-5858 | 128 North Ave Owego NY 13827-1304 Ph: (607) 687-6101 |
NPI Number | 1578899167 |
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Provider Enumeration Date | 11/02/2009 |
Last Update Date | 11/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578899167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Keith A Nichols Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Temple St, Suite 100, Owego, NY 13827 Phone: 607-687-5616 | |