Tina Discepola Medical, Pc | |
1034 N Broadway Family Medicine Of Westchester Yonkers NY 10701-1328 | |
(914) 909-2546 | |
(914) 909-2546 |
Full Name | Tina Discepola Medical, Pc |
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Speciality | General Practice |
Location | 1034 N Broadway, Yonkers, New York |
Authorized Official Name and Position | Constantina Discepola (PRESIDENT/OWNER) |
Authorized Official Contact | 9149092546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tina Discepola Medical, Pc 1193 Dobbs Ferry Rd White Plains NY 10607-2605 Ph: (914) 909-2546 | Tina Discepola Medical, Pc 1034 N Broadway Family Medicine Of Westchester Yonkers NY 10701-1328 Ph: (914) 909-2546 |
NPI Number | 1538456355 |
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Provider Enumeration Date | 06/30/2011 |
Last Update Date | 06/30/2011 |
Identifier | Type | State | Issuer |
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1538456355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 192494 (New York) | Primary |
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