| Modena Family Practice, Pc | |
|
2044 Route 32 Suite 4 Modena NY 12548 | |
| (845) 883-5176 | |
| (845) 883-5177 |
| Full Name | Modena Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2044 Route 32, Modena, New York |
| Authorized Official Name and Position | Francis C Mayle (DOCTOR/OWNER) |
| Authorized Official Contact | 8458835176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modena Family Practice, Pc 2044 Route 32 Suite 4 Modena NY 12548 Ph: (845) 883-5176 | Modena Family Practice, Pc 2044 Route 32 Suite 4 Modena NY 12548 Ph: (845) 883-5176 |
| NPI Number | 1912981044 |
|---|---|
| Provider Enumeration Date | 12/01/2005 |
| Last Update Date | 02/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912981044 | NPI | - | NPPES |
| CF8381 | Other | NY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 158508 (New York) | Primary |
Modena Pcp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 Route 32, Suite4, Modena, NY 12548 Phone: 845-883-5176 Fax: 845-883-5177 |