Sf Ohio Medical Services Corp | |
1390 King Tree Dr Dayton OH 45405-1401 | |
(718) 280-5436 | |
(718) 362-1651 |
Full Name | Sf Ohio Medical Services Corp |
---|---|
Speciality | Family Medicine |
Location | 1390 King Tree Dr, Dayton, Ohio |
Authorized Official Name and Position | Simon Fensterszaub (OWNER) |
Authorized Official Contact | 7183621411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sf Ohio Medical Services Corp 228 E Route 59 # 408 Nanuet NY 10954-2905 Ph: (718) 362-1411 | Sf Ohio Medical Services Corp 1390 King Tree Dr Dayton OH 45405-1401 Ph: (718) 280-5436 |
NPI Number | 1073085676 |
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Provider Enumeration Date | 12/20/2018 |
Last Update Date | 03/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073085676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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