| The Village Physician P.c. | |
|
214 Fifth Ave Pelham NY 10803-1547 | |
| (914) 813-1624 | |
| (914) 813-1624 |
| Full Name | The Village Physician P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 214 Fifth Ave, Pelham, New York |
| Authorized Official Name and Position | Marilyn J Sibery (PRESIDENT) |
| Authorized Official Contact | 9173182492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Physician P.c. 214 Fifth Ave Pelham NY 10803-1547 Ph: (914) 813-1624 | The Village Physician P.c. 214 Fifth Ave Pelham NY 10803-1547 Ph: (914) 813-1624 |
| NPI Number | 1922255033 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922255033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 240355 (New York) | Primary |
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