| Prestige Physicians Services, Pllc | |
|
164 Willow Ave Cornwall NY 12518 | |
| (845) 565-1771 | |
| (845) 565-4941 |
| Full Name | Prestige Physicians Services, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 164 Willow Ave, Cornwall, New York |
| Authorized Official Name and Position | Richard M Diamond (OWNER) |
| Authorized Official Contact | 9147556812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Physicians Services, Pllc 164 Willow Ave Cornwall NY 12518-1329 Ph: (914) 755-6812 | Prestige Physicians Services, Pllc 164 Willow Ave Cornwall NY 12518 Ph: (845) 565-1771 |
| NPI Number | 1134233497 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134233497 | NPI | - | NPPES |
| 05174598 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Faculty Group Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Laurel Ave Ste 240, Faculty Group Practice St Luke's Cornwall Hospital, Cornwall, NY 12518 Phone: 845-458-4876 Fax: 845-458-4560 | |
G. S. Mehar Physician, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Elm St, Cornwall, NY 12518 Phone: 845-534-7700 Fax: 845-534-3674 |