| Vails Medical Pllc. | |
|
537 Blooming Grove Tpke New Windsor NY 12553-7843 | |
| (845) 561-8500 | |
| (845) 561-8855 |
| Full Name | Vails Medical Pllc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 537 Blooming Grove Tpke, New Windsor, New York |
| Authorized Official Name and Position | Chinyere E. Ofonagoro (PRESIDENT) |
| Authorized Official Contact | 8455618500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vails Medical Pllc. 537 Blooming Grove Tpke New Windsor NY 12553-7843 Ph: (845) 561-8500 | Vails Medical Pllc. 537 Blooming Grove Tpke New Windsor NY 12553-7843 Ph: (845) 561-8500 |
| NPI Number | 1720215718 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720215718 | NPI | - | NPPES |
| 01922123 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207719 (New York) | Primary |
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