Lisle Medical Arts Center | |
66 Johnson Hill Road Pob 338 Lisle NY 13797-0338 | |
(607) 692-3844 | |
(607) 692-3846 |
Full Name | Lisle Medical Arts Center |
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Speciality | Clinic/center - Primary Care |
Location | 66 Johnson Hill Road, Lisle, New York |
Authorized Official Name and Position | Daniel J. Driscoll (OWNER) |
Authorized Official Contact | 6076923844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lisle Medical Arts Center 66 Johnson Hill Road Pob 338 Lisle NY 13797-0338 Ph: (607) 692-3844 | Lisle Medical Arts Center 66 Johnson Hill Road Pob 338 Lisle NY 13797-0338 Ph: (607) 692-3844 |
NPI Number | 1598817207 |
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Provider Enumeration Date | 01/16/2007 |
Last Update Date | 05/21/2008 |
Identifier | Type | State | Issuer |
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1598817207 | NPI | - | NPPES |
00491447 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 113141 (New York) | Primary |