| Tali Reeis-martin Physician Pc | |
|
101 Chalburn Rd Vestal NY 13850-2880 | |
| (305) 206-3375 | |
| Not Available |
| Full Name | Tali Reeis-martin Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Chalburn Rd, Vestal, New York |
| Authorized Official Name and Position | Tali Reeis-martin (OWNER) |
| Authorized Official Contact | 3052063375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tali Reeis-martin Physician Pc 601 Gates Rd Ste 3 Vestal NY 13850-2288 Ph: (607) 772-9462 | Tali Reeis-martin Physician Pc 101 Chalburn Rd Vestal NY 13850-2880 Ph: (305) 206-3375 |
| NPI Number | 1376981415 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376981415 | NPI | - | NPPES |
| 03186629 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 256048 (New York) | Primary |
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