| Samson Pachikara Md Pc | |
|
123 Genesee St New Hartford NY 13413-2323 | |
| (315) 797-2314 | |
| (315) 797-0850 |
| Full Name | Samson Pachikara Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 Genesee St, New Hartford, New York |
| Authorized Official Name and Position | Samson A Pachikara (CEO) |
| Authorized Official Contact | 3157972314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samson Pachikara Md Pc 123 Genesee St New Hartford NY 13413-2323 Ph: (315) 797-2314 | Samson Pachikara Md Pc 123 Genesee St New Hartford NY 13413-2323 Ph: (315) 797-2314 |
| NPI Number | 1831200088 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/05/2010 |
| Medicare PECOS PAC ID | 9537176102 |
|---|---|
| Medicare Enrollment ID | O20060308000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831200088 | NPI | - | NPPES |
| 01797153 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 221758 (New York) | Secondary |
| 207R00000X | Internal Medicine | 203801 (New York) | Primary |
| Provider Name | Jane Samson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083718712 PECOS PAC ID: 1759435878 Enrollment ID: I20090824000510 |
| Provider Name | Abin S Pachikara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689979759 PECOS PAC ID: 5698933588 Enrollment ID: I20120223000445 |
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