Full Name | |
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Speciality | Clinic/Center |
Location | 16 Fravor Rd, Mexico, 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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16 Fravor Rd Mexico NY 13114-3011 Ph: (315) 963-8400 | 16 Fravor Rd Mexico NY 13114-3011 Ph: (315) 963-8400 |
NPI Number | 1598166670 |
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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 | O20150303000778 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598166670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Northern Oswego County Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26 Academy St, Mexico, NY 13114 Phone: 315-963-8400 | |