Plum Halo Medical, Pllc | |
233 Route 17 Suite 207 Tuxedo Park NY 10987-4406 | |
(845) 915-3061 | |
Not Available |
Full Name | Plum Halo Medical, Pllc |
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Speciality | Clinic/Center |
Location | 233 Route 17, Tuxedo Park, New York |
Authorized Official Name and Position | Luis Collar (PRESIDENT AND CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 8459153061 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Plum Halo Medical, Pllc 233 Route 17 Suite 207 Tuxedo Park NY 10987-4406 Ph: (845) 915-3061 | Plum Halo Medical, Pllc 233 Route 17 Suite 207 Tuxedo Park NY 10987-4406 Ph: (845) 915-3061 |
NPI Number | 1700450087 |
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Provider Enumeration Date | 05/19/2021 |
Last Update Date | 05/19/2021 |
Medicare PECOS PAC ID | 1557759412 |
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Medicare Enrollment ID | O20211026000948 |
Identifier | Type | State | Issuer |
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1700450087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Luis Collar |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1225337587 PECOS PAC ID: 3375931231 Enrollment ID: I20211026001094 |
Kazbay Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 83 Salierno Rd, Tuxedo Park, NY 10987 Phone: 646-745-4150 |