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2 Main Street Cherry Valley NY 13320 | |
(607) 264-3036 | |
(607) 264-9326 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2 Main Street, Cherry Valley, New York |
Authorized Official Name and Position | Thomas F Garretson (SUPERVISOR-TOWN OF CHERRY VALLEY) |
Authorized Official Contact | 6072649045 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 206 2 Main Street Cherry Valley NY 13320 Ph: (607) 264-3036 | 2 Main Street Cherry Valley NY 13320 Ph: (607) 264-3036 |
NPI Number | 1588851455 |
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Provider Enumeration Date | 09/25/2007 |
Last Update Date | 07/15/2008 |
Medicare PECOS PAC ID | 8729381579 |
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Medicare Enrollment ID | O20160128000654 |
Identifier | Type | State | Issuer |
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1588851455 | NPI | - | NPPES |
00473538 | Medicaid | NY |