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10 Carlton Dr Parish NY 13131-3308 | |
(315) 625-4388 | |
(315) 625-4535 |
Full Name | |
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Speciality | Clinic/Center |
Location | 10 Carlton Dr, Parish, New York |
Authorized Official Name and Position | Karen Paterniti (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3152986569 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10 Carlton Dr Parish NY 13131-3308 Ph: (315) 625-4388 | 10 Carlton Dr Parish NY 13131-3308 Ph: (315) 625-4388 |
NPI Number | 1578963773 |
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Provider Enumeration Date | 08/26/2014 |
Last Update Date | 08/26/2014 |
Medicare PECOS PAC ID | 8426961541 |
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Medicare Enrollment ID | O20141212000181 |
Identifier | Type | State | Issuer |
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1578963773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |