| Larchmont Family Medicine, Pllc | |
|
1890 Palmer Ave Suite 304 Larchmont NY 10538-3059 | |
| (914) 834-9606 | |
| (914) 834-0648 |
| Full Name | Larchmont Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1890 Palmer Ave, Larchmont, New York |
| Authorized Official Name and Position | Philip Heinegg (OWNER) |
| Authorized Official Contact | 9148349606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larchmont Family Medicine, Pllc 1890 Palmer Ave Suite 304 Larchmont NY 10538-3059 Ph: (914) 834-9606 | Larchmont Family Medicine, Pllc 1890 Palmer Ave Suite 304 Larchmont NY 10538-3059 Ph: (914) 834-9606 |
| NPI Number | 1124487087 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/19/2016 |
| Medicare PECOS PAC ID | 3274826813 |
|---|---|
| Medicare Enrollment ID | O20160720001019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124487087 | NPI | - | NPPES |
| 1629079249 | Other | NY | NPI |
| 1952448862 | Other | NY | NPI |
| 1588678593 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip C Heinegg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588678593 PECOS PAC ID: 4880630532 Enrollment ID: I20060112001064 |
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Larchmont Family Practice, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 Palmer Ave, Larchmont, NY 10538 Phone: 914-834-9606 |