Neal T. Smith & Jeannine L. Dolan, M.d.'s | |
5973 Walworth Road Ontario NY 14519 | |
(315) 524-2881 | |
(315) 524-2231 |
Full Name | Neal T. Smith & Jeannine L. Dolan, M.d.'s |
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Speciality | Family Medicine |
Location | 5973 Walworth Road, Ontario, New York |
Authorized Official Name and Position | Neal T. Smith (PARTNER) |
Authorized Official Contact | 3155242881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neal T. Smith & Jeannine L. Dolan, M.d.'s P.o. Box 368 Ontario NY 14519 Ph: (315) 524-2881 | Neal T. Smith & Jeannine L. Dolan, M.d.'s 5973 Walworth Road Ontario NY 14519 Ph: (315) 524-2881 |
NPI Number | 1205923232 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 07/30/2020 |
Medicare PECOS PAC ID | 0244203842 |
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Medicare Enrollment ID | O20040812001253 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205923232 | NPI | - | NPPES |
CF6398 | Other | NY | RAILROAD MEDICARE PTAN (PIN) |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jeannine L Dolan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689761454 PECOS PAC ID: 8820006091 Enrollment ID: I20110131000260 |
Provider Name | Neal T Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588751515 PECOS PAC ID: 2769455377 Enrollment ID: I20110131000317 |