| Kirkwood | |
|
5 Mile Point Plaza Kirkwood NY 13795 | |
| (607) 775-1771 | |
| (607) 775-5479 |
| Full Name | Kirkwood |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Mile Point Plaza, Kirkwood, New York |
| Authorized Official Name and Position | Angela Iacovelli (COO/CFO) |
| Authorized Official Contact | 6077700025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirkwood 346 Grand Ave Johnson City NY 13790-2558 Ph: (607) 770-0025 | Kirkwood 5 Mile Point Plaza Kirkwood NY 13795 Ph: (607) 775-1771 |
| NPI Number | 1336322999 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336322999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New York) | Primary |
Kirkwood Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 865 Route 11, Kirkwood, NY 13795 Phone: 434-420-0466 |