| Mid-hudson Primary Medical Care Pllc | |
|
74 W Cedar St Poughkeepsie NY 12601-1310 | |
| (845) 454-6174 | |
| Not Available |
| Full Name | Mid-hudson Primary Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 74 W Cedar St, Poughkeepsie, New York |
| Authorized Official Name and Position | Asghar Anwar (OWNER) |
| Authorized Official Contact | 8454546174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-hudson Primary Medical Care Pllc 74 W Cedar St Poughkeepsie NY 12601-1310 Ph: (845) 454-6174 | Mid-hudson Primary Medical Care Pllc 74 W Cedar St Poughkeepsie NY 12601-1310 Ph: (845) 454-6174 |
| NPI Number | 1750687372 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Medicare PECOS PAC ID | 6800070251 |
|---|---|
| Medicare Enrollment ID | O20110408000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750687372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 203858-1 (New York) | Primary |
| Provider Name | Asghar M Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174537401 PECOS PAC ID: 9032301353 Enrollment ID: I20101005000921 |
| Provider Name | John Mazzei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801377 PECOS PAC ID: 4486963048 Enrollment ID: I20151021002112 |
| Provider Name | Noelle Mary Ziemins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104206804 PECOS PAC ID: 3476856790 Enrollment ID: I20160120002337 |
| Provider Name | Morgan Desa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326559451 PECOS PAC ID: 8224398748 Enrollment ID: I20180201001098 |
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