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61 Delano St Pulaski NY 13142-1400 | |
(315) 298-6564 | |
(315) 298-1901 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 61 Delano St, Pulaski, New York |
Authorized Official Name and Position | Melissa Burlingame (NURSE MANAGER) |
Authorized Official Contact | 3152986564 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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61 Delano St Pulaski NY 13142-1400 Ph: (315) 298-6564 | 61 Delano St Pulaski NY 13142-1400 Ph: (315) 298-6564 |
NPI Number | 1073947727 |
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Provider Enumeration Date | 08/29/2013 |
Last Update Date | 08/29/2013 |
Identifier | Type | State | Issuer |
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1073947727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 292598 (New York) | Primary |
Jay F Sullivan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4882b North Jefferson St, Pulaski, NY 13142 Phone: 315-298-2768 | |