Upper Delaware Valley Infectious Diseases,pc | |
427 Broadway Suite 1 Monticello NY 12701-1742 | |
(845) 794-6813 | |
(845) 794-6816 |
Full Name | Upper Delaware Valley Infectious Diseases,pc |
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Speciality | Internal Medicine - Infectious Disease |
Location | 427 Broadway, Monticello, New York |
Authorized Official Name and Position | Gary R. Good (PRESIDENT) |
Authorized Official Contact | 8457946813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Upper Delaware Valley Infectious Diseases,pc 427 Broadway Suite 1 Monticello NY 12701-1742 Ph: (845) 794-6813 | Upper Delaware Valley Infectious Diseases,pc 427 Broadway Suite 1 Monticello NY 12701-1742 Ph: (845) 794-6813 |
NPI Number | 1033445481 |
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Provider Enumeration Date | 10/20/2009 |
Last Update Date | 10/20/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033445481 | NPI | - | NPPES |
01518258 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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