Home Medical Office, P.c. | |
18 Orchard St Ste 100 Middletown NY 10940-5005 | |
(845) 467-4735 | |
(845) 467-4736 |
Full Name | Home Medical Office, P.c. |
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Speciality | Family Medicine |
Location | 18 Orchard St Ste 100, Middletown, New York |
Authorized Official Name and Position | Cristian Castro-nunez (PHYSICIAN) |
Authorized Official Contact | 8454674735 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Home Medical Office, P.c. 18 Orchard St Ste 100 Middletown NY 10940-5005 Ph: (845) 467-4735 | Home Medical Office, P.c. 18 Orchard St Ste 100 Middletown NY 10940-5005 Ph: (845) 467-4735 |
NPI Number | 1174965412 |
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Provider Enumeration Date | 07/29/2013 |
Last Update Date | 07/29/2013 |
Medicare PECOS PAC ID | 4688817190 |
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Medicare Enrollment ID | O20130903000380 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174965412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cristian Castro Nunez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497829675 PECOS PAC ID: 5092723296 Enrollment ID: I20060404000421 |
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