| Mohawk Glen Family Practice Pllc | |
|
91 Perimeter Rd Suite 120 Rome NY 13441-4018 | |
| (315) 336-4830 | |
| Not Available |
| Full Name | Mohawk Glen Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 91 Perimeter Rd, Rome, New York |
| Authorized Official Name and Position | Anthony M Cotronea (OWNER) |
| Authorized Official Contact | 3153364830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohawk Glen Family Practice Pllc 91 Perimeter Rd Suite 120 Rome NY 13441-4018 Ph: (315) 336-4830 | Mohawk Glen Family Practice Pllc 91 Perimeter Rd Suite 120 Rome NY 13441-4018 Ph: (315) 336-4830 |
| NPI Number | 1194746354 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194746354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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