Lebarty Medical Pllc | |
317 Danielle Dr Schenectady NY 12303-5179 | |
(518) 951-0740 | |
(518) 280-1214 |
Full Name | Lebarty Medical Pllc |
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Speciality | Internal Medicine |
Location | 317 Danielle Dr, Schenectady, New York |
Authorized Official Name and Position | Nosa Dennis Aigbe Lebarty (OWNER) |
Authorized Official Contact | 5189510740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lebarty Medical Pllc 317 Danielle Dr Schenectady NY 12303-5179 Ph: () - | Lebarty Medical Pllc 317 Danielle Dr Schenectady NY 12303-5179 Ph: (518) 951-0740 |
NPI Number | 1104468099 |
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Provider Enumeration Date | 10/11/2019 |
Last Update Date | 04/09/2020 |
Medicare PECOS PAC ID | 2668801200 |
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Medicare Enrollment ID | O20200403000014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104468099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Jina Nocera |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538105887 PECOS PAC ID: 6406851666 Enrollment ID: I20060921000121 |
Provider Name | Nosa D Aigbe Lebarty |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629385315 PECOS PAC ID: 3577719335 Enrollment ID: I20120809000669 |
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