Hermon Family Health Care | |
105 Main St Hermon NY 13652-3100 | |
(315) 347-2191 | |
Not Available |
Full Name | Hermon Family Health Care |
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Speciality | Family Medicine |
Location | 105 Main St, Hermon, New York |
Authorized Official Name and Position | Gary R Berk (M.D.) |
Authorized Official Contact | 3153472191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hermon Family Health Care 1111 Patterson St Ogdensburg NY 13669-3840 Ph: (315) 393-9113 | Hermon Family Health Care 105 Main St Hermon NY 13652-3100 Ph: (315) 347-2191 |
NPI Number | 1811057367 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811057367 | NPI | - | NPPES |
00986576 | Medicaid | NY | |
1417059718 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 158982-1 (New York) | Primary |