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2138 W Seneca St Ovid NY 14521-9701 | |
(607) 869-2514 | |
(607) 869-3001 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2138 W Seneca St, Ovid, New York |
Authorized Official Name and Position | Malia Popovich (PHYSICIAN BILLING SUPERVISOR) |
Authorized Official Contact | 6075358639 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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220 Steuben St Montour Falls NY 14865-9709 Ph: (607) 535-8639 | 2138 W Seneca St Ovid NY 14521-9701 Ph: (607) 869-2514 |
NPI Number | 1902430689 |
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Provider Enumeration Date | 03/03/2020 |
Last Update Date | 04/13/2020 |
Medicare PECOS PAC ID | 3577548262 |
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Medicare Enrollment ID | O20200427000892 |
Identifier | Type | State | Issuer |
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1902430689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |