Integrated Medical Healthcare Services Pllc | |
600 Stony Brook Ct Newburgh NY 12550-6524 | |
(845) 391-8557 | |
(845) 608-8270 |
Full Name | Integrated Medical Healthcare Services Pllc |
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Speciality | Internal Medicine |
Location | 600 Stony Brook Ct, Newburgh, New York |
Authorized Official Name and Position | Jack Hardy Carleton (PARTNER) |
Authorized Official Contact | 9144908519 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrated Medical Healthcare Services Pllc 600 Stony Brook Ct Newburgh NY 12550-6524 Ph: (845) 391-8557 | Integrated Medical Healthcare Services Pllc 600 Stony Brook Ct Newburgh NY 12550-6524 Ph: (845) 391-8557 |
NPI Number | 1861020810 |
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Provider Enumeration Date | 03/27/2020 |
Last Update Date | 12/22/2020 |
Medicare PECOS PAC ID | 4880008689 |
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Medicare Enrollment ID | O20210205000082 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861020810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jack H Carleton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811980873 PECOS PAC ID: 8820138738 Enrollment ID: I20091224000073 |
Provider Name | Alexandria Danielle Howard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336430545 PECOS PAC ID: 2567686314 Enrollment ID: I20181206002006 |
Provider Name | Amy N Bryson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730733999 PECOS PAC ID: 6608108485 Enrollment ID: I20191028002579 |
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