Full Name | |
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Speciality | Clinic/Center |
Location | 2 Hinman Rd, Pulaski, New York |
Authorized Official Name and Position | Karen Paterniti (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3152986569 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2 Hinman Rd Pulaski NY 13142-2200 Ph: (315) 298-2570 | 2 Hinman Rd Pulaski NY 13142-2200 Ph: (315) 298-2570 |
NPI Number | 1295136372 |
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Provider Enumeration Date | 09/09/2014 |
Last Update Date | 09/09/2014 |
Medicare PECOS PAC ID | 8426961541 |
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Medicare Enrollment ID | O20150306000442 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295136372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Jay F Sullivan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4882b North Jefferson St, Pulaski, NY 13142 Phone: 315-298-2768 | |