| Village Integrative Family Medicine Pllc | |
|
7 Teapot Ln Smithtown NY 11787-1800 | |
| (631) 338-1235 | |
| Not Available |
| Full Name | Village Integrative Family Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 Teapot Ln, Smithtown, New York |
| Authorized Official Name and Position | Elizabeth Acevedo-danzi (OWNER) |
| Authorized Official Contact | 6313381235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Integrative Family Medicine Pllc 7 Teapot Ln Smithtown NY 11787-1800 Ph: () - | Village Integrative Family Medicine Pllc 7 Teapot Ln Smithtown NY 11787-1800 Ph: (631) 338-1235 |
| NPI Number | 1477156172 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 11/24/2020 |
| Medicare PECOS PAC ID | 9335550342 |
|---|---|
| Medicare Enrollment ID | O20201124000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477156172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Elizabeth C Acevedo-danzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821361684 PECOS PAC ID: 9436417326 Enrollment ID: I20171226000745 |
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