| Mohawk Valley Practitioners | |
|
1 Notre Dame Ln Utica NY 13502-4817 | |
| (315) 733-7913 | |
| (315) 624-7796 |
| Full Name | Mohawk Valley Practitioners |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Notre Dame Ln, Utica, New York |
| Authorized Official Name and Position | Laura Lynne Luke (OFFICE MANAGER) |
| Authorized Official Contact | 3157337913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohawk Valley Practitioners 1 Notre Dame Ln Utica NY 13502-4817 Ph: (315) 733-7913 | Mohawk Valley Practitioners 1 Notre Dame Ln Utica NY 13502-4817 Ph: (315) 733-7913 |
| NPI Number | 1548414287 |
|---|---|
| Provider Enumeration Date | 11/07/2008 |
| Last Update Date | 11/07/2008 |
| Medicare PECOS PAC ID | 0941365860 |
|---|---|
| Medicare Enrollment ID | O20090210000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548414287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1758471 (New York) | Primary |
| Provider Name | Brian C Alessi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154323012 PECOS PAC ID: 3375528185 Enrollment ID: I20040629000665 |
| Provider Name | Cathryn J. Barns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518052653 PECOS PAC ID: 5991895567 Enrollment ID: I20071219000600 |
| Provider Name | Sarah C Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285129320 PECOS PAC ID: 8921357286 Enrollment ID: I20180820001739 |
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Toby Taylor, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Genesee St, Utica, NY 13502 Phone: 315-735-4246 Fax: 315-735-4247 | |
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Douglas Ahn, M.d., P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Business Park Dr, Suite 1, Utica, NY 13502 Phone: 315-738-7883 Fax: 315-738-0347 | |
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