John M. Pramenko, Md, P.c. | |
2310 Nott St E Niskayuna NY 12309-4303 | |
(518) 381-4133 | |
Not Available |
Full Name | John M. Pramenko, Md, P.c. |
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Speciality | Family Medicine |
Location | 2310 Nott St E, Niskayuna, New York |
Authorized Official Name and Position | John M Pramenko (PRESIDENT) |
Authorized Official Contact | 5183814133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John M. Pramenko, Md, P.c. 2310 Nott St E Niskayuna NY 12309-4303 Ph: (518) 381-4133 | John M. Pramenko, Md, P.c. 2310 Nott St E Niskayuna NY 12309-4303 Ph: (518) 381-4133 |
NPI Number | 1821293309 |
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Provider Enumeration Date | 06/15/2007 |
Last Update Date | 12/12/2007 |
Medicare PECOS PAC ID | 8921193566 |
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Medicare Enrollment ID | O20070927000658 |
Identifier | Type | State | Issuer |
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1821293309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 203711 (New York) | Primary |
Provider Name | John M Pramenko |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477529048 PECOS PAC ID: 6204921844 Enrollment ID: I20070927000648 |
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