S-corp | |
1175 State Route 29 Greenwich NY 12834-6109 | |
(518) 692-9634 | |
(518) 692-7586 |
Full Name | S-corp |
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Speciality | General Practice |
Location | 1175 State Route 29, Greenwich, New York |
Authorized Official Name and Position | Neil Geoffrey Trachtman (OWNER) |
Authorized Official Contact | 5186929634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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S-corp 1175 State Route 29 Greenwich NY 12834-6109 Ph: (518) 692-9634 | S-corp 1175 State Route 29 Greenwich NY 12834-6109 Ph: (518) 692-9634 |
NPI Number | 1376520809 |
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Provider Enumeration Date | 12/27/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376520809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Greenwich Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 State Route 29, Greenwich, NY 12834 Phone: 518-692-9861 Fax: 518-692-7947 |