Twin Rivers Gastroenterology, Llp | |
56 Church St # 58 Port Jervis NY 12771-2017 | |
(845) 856-4346 | |
(845) 856-0587 |
Full Name | Twin Rivers Gastroenterology, Llp |
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Speciality | Internal Medicine - Gastroenterology |
Location | 56 Church St # 58, Port Jervis, New York |
Authorized Official Name and Position | David Harold Brody (OWNER) |
Authorized Official Contact | 8458564346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Twin Rivers Gastroenterology, Llp 56-58 Church Street Port Jervis NY 12771 Ph: (845) 856-4346 | Twin Rivers Gastroenterology, Llp 56 Church St # 58 Port Jervis NY 12771-2017 Ph: (845) 856-4346 |
NPI Number | 1497872162 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 01/31/2008 |
Identifier | Type | State | Issuer |
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1497872162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 137214 (New York) | Primary |
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