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124 Salisbury Street Sandy Creek NY 13145-0248 | |
(315) 387-3620 | |
(315) 298-7831 |
Full Name | |
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Speciality | Clinic/Center |
Location | 124 Salisbury Street, Sandy Creek, New York |
Authorized Official Name and Position | Karen Paterniti (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3152986569 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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124 Salisbury Street Sandy Creek NY 13145-0248 Ph: (315) 387-3620 | 124 Salisbury Street Sandy Creek NY 13145-0248 Ph: (315) 387-3620 |
NPI Number | 1043611304 |
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Provider Enumeration Date | 09/05/2014 |
Last Update Date | 11/21/2023 |
Medicare PECOS PAC ID | 8426961541 |
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Medicare Enrollment ID | O20150304000724 |
Identifier | Type | State | Issuer |
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1043611304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |