| Tri County Medical Associate Pc | |
|
20 Broadway Woodridge NY 12789-0546 | |
| (845) 434-6333 | |
| (845) 434-2346 |
| Full Name | Tri County Medical Associate Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Broadway, Woodridge, New York |
| Authorized Official Name and Position | Renu S Jerath (DOCTOR OWNER) |
| Authorized Official Contact | 8454346333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Medical Associate Pc Po Box 546 20 Broadway Woodridge NY 12789-0546 Ph: (845) 434-6333 | Tri County Medical Associate Pc 20 Broadway Woodridge NY 12789-0546 Ph: (845) 434-6333 |
| NPI Number | 1194709253 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194709253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 153068-2 (New York) | Primary |
Oda Primary Health Care Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Dairyland Rd, Woodridge, NY 12789 Phone: 718-260-4600 |