Newport Medical, Pllc | |
221 E Main St Palmyra NY 14522-1127 | |
(315) 502-4085 | |
(315) 502-4086 |
Full Name | Newport Medical, Pllc |
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Speciality | Clinic/center |
Location | 221 E Main St, Palmyra, New York |
Authorized Official Name and Position | Karen May Nickell (OWNER) |
Authorized Official Contact | 3155024085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Newport Medical, Pllc 221 E Main St Palmyra NY 14522-1127 Ph: (315) 502-4085 | Newport Medical, Pllc 221 E Main St Palmyra NY 14522-1127 Ph: (315) 502-4085 |
NPI Number | 1538318050 |
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Provider Enumeration Date | 09/09/2008 |
Last Update Date | 10/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538318050 | NPI | - | NPPES |
P010212521 | Other | NY | BLUE CHOICE |
MDE045 | Other | PREFERRED CARE | |
01914272 | Medicaid | NY | |
1142 | Other | BLUE CROSS/ BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 212521 (New York) | Primary |