| Harmony Health Of Western New York | |
|
1379 W Ridge Rd Rochester NY 14615-2412 | |
| (585) 684-3556 | |
| (585) 360-1701 |
| Full Name | Harmony Health Of Western New York |
|---|---|
| Speciality | Clinic/Center |
| Location | 1379 W Ridge Rd, Rochester, New York |
| Authorized Official Name and Position | Mark Larry Sarnov (OWNER) |
| Authorized Official Contact | 5856843556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Health Of Western New York 1379 W Ridge Rd Rochester NY 14615-2412 Ph: (585) 684-3556 | Harmony Health Of Western New York 1379 W Ridge Rd Rochester NY 14615-2412 Ph: (585) 684-3556 |
| NPI Number | 1588249262 |
|---|---|
| Provider Enumeration Date | 03/14/2021 |
| Last Update Date | 04/27/2024 |
| Medicare PECOS PAC ID | 2567879646 |
|---|---|
| Medicare Enrollment ID | O20210408000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588249262 | NPI | - | NPPES |
| 01777619 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mark L Sarnov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366409815 PECOS PAC ID: 9931176369 Enrollment ID: I20100323000241 |
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