| |
4 Fuller St Alexandria Bay NY 13607-1391 | |
(315) 482-1207 | |
(315) 482-3727 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4 Fuller St, Alexandria Bay, New York |
Authorized Official Name and Position | Carrie Beth Bova (DIRECTOR, REVENUE CYCLE MANAGEMENT) |
Authorized Official Contact | 3154821207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4 Fuller St Alexandria Bay NY 13607-1316 Ph: (315) 482-2511 | 4 Fuller St Alexandria Bay NY 13607-1391 Ph: (315) 482-1207 |
NPI Number | 1831452994 |
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Provider Enumeration Date | 06/22/2012 |
Last Update Date | 09/30/2020 |
Medicare PECOS PAC ID | 2567372899 |
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Medicare Enrollment ID | O20200113000370 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831452994 | NPI | - | NPPES |
03011387 | Medicaid | NY | |
02392854 | Medicaid | NY | |
1367324943 | Other | NY | HPSA |
02381 | Other | NY | HPSA ID MUA |
33D1050774 | Other | NY | CLIA |
Nancy A. Girard Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Market St, Alexandria Bay, NY 13607 Phone: 315-482-3816 Fax: 315-482-6265 |