| New City Medical Pllc | |
|
20 Squadron Blvd Ste 290 New City NY 10956 | |
| (845) 634-9400 | |
| (845) 634-0547 |
| Full Name | New City Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Squadron Blvd, New City, New York |
| Authorized Official Name and Position | Bernard I Laitman (OWNER) |
| Authorized Official Contact | 8456349400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New City Medical Pllc 20 Squadron Blvd Ste 290 New City NY 10956 Ph: (845) 634-9400 | New City Medical Pllc 20 Squadron Blvd Ste 290 New City NY 10956 Ph: (845) 634-9400 |
| NPI Number | 1255409801 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365491495 |
|---|---|
| Medicare Enrollment ID | O20050115000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255409801 | NPI | - | NPPES |
| 00687985 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bernard I Laitman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023031135 PECOS PAC ID: 2769479732 Enrollment ID: I20040429001544 |
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