| Sg Medical Professional Services Of Ohio Corp | |
|
2660 Bishop Rd Wickliffe OH 44092-2642 | |
| (718) 362-1403 | |
| (718) 414-1651 |
| Full Name | Sg Medical Professional Services Of Ohio Corp |
|---|---|
| Speciality | General Practice |
| Location | 2660 Bishop Rd, Wickliffe, Ohio |
| Authorized Official Name and Position | Krystal Mckenna (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7183621403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Medical Professional Services Of Ohio Corp 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1403 | Sg Medical Professional Services Of Ohio Corp 2660 Bishop Rd Wickliffe OH 44092-2642 Ph: (718) 362-1403 |
| NPI Number | 1326753179 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326753179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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