Scarsdale Integrative Family Medicine Pllc | |
2 Overhill Rd Ste 260 Scarsdale NY 10583-5334 | |
(914) 722-9440 | |
(914) 722-9441 |
Full Name | Scarsdale Integrative Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 2 Overhill Rd Ste 260, Scarsdale, New York |
Authorized Official Name and Position | Hyun Joon Lee (MEDICAL DIRECTOR) |
Authorized Official Contact | 9147229440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scarsdale Integrative Family Medicine Pllc 2 Overhill Rd Ste 260 Scarsdale NY 10583-5334 Ph: (914) 722-9440 | Scarsdale Integrative Family Medicine Pllc 2 Overhill Rd Ste 260 Scarsdale NY 10583-5334 Ph: (914) 722-9440 |
NPI Number | 1902182397 |
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Provider Enumeration Date | 10/29/2011 |
Last Update Date | 12/16/2011 |
Medicare PECOS PAC ID | 1658545298 |
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Medicare Enrollment ID | O20111117000332 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902182397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 229053 (New York) | Primary |
Provider Name | Stephen Dahmer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508956798 PECOS PAC ID: 3971651159 Enrollment ID: I20180522002081 |
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