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3991 Ny-2. Ste 15 Cropseyville NY 12052 | |
(518) 217-8199 | |
(678) 737-1094 |
Full Name | |
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Speciality | Family Medicine |
Location | 3991 Ny-2. Ste 15, Cropseyville, New York |
Authorized Official Name and Position | Elizabeth Helen Sandel (OWNER) |
Authorized Official Contact | 5182178199 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3991 Ny-2 Ste 15 Cropseyville NY 12052 Ph: (518) 217-8199 | 3991 Ny-2. Ste 15 Cropseyville NY 12052 Ph: (518) 217-8199 |
NPI Number | 1396593083 |
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Provider Enumeration Date | 05/08/2024 |
Last Update Date | 07/03/2024 |
Medicare PECOS PAC ID | 6709321573 |
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Medicare Enrollment ID | O20240717000070 |
Identifier | Type | State | Issuer |
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1396593083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Elizabeth Helen Sandel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265636203 PECOS PAC ID: 2668566407 Enrollment ID: I20070924000537 |