Keuka Health Care Associates, P.c. | |
418 N Main St Penn Yan NY 14527-1070 | |
(315) 536-3308 | |
(315) 536-0430 |
Full Name | Keuka Health Care Associates, P.c. |
---|---|
Speciality | Nurse Practitioner - Family |
Location | 418 N Main St, Penn Yan, New York |
Authorized Official Name and Position | William P. Welbourne (PRESIDENT) |
Authorized Official Contact | 3155363308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Keuka Health Care Associates, P.c. 418 N Main St Penn Yan NY 14527-1070 Ph: (315) 536-3308 | Keuka Health Care Associates, P.c. 418 N Main St Penn Yan NY 14527-1070 Ph: (315) 536-3308 |
NPI Number | 1326185158 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326185158 | NPI | - | NPPES |
0688 | Other | NY | EXCELLUS BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 119889 (New York) | Primary |
363LF0000X | Nurse Practitioner - Family | F331889 (New York) | Primary |
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