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NPI Code Detail

MEDICARE: EMURGENT CARE MEDICINE PLLC

MEDICARE: EMURGENT CARE MEDICINE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1790724193
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMURGENT CARE MEDICINE PLLC
Provider Business Mailing Address
First Line : 11835 RT 9W
Second Line :
City : WEST COXSACKIE
State : NY
Zip : 12192-3605
Country : US
Telephone Number : 518-731-9000
Fax Number : 518-731-9119
Provider Business Practice Location Address
First Line : 11835 RT 9W
Second Line :
City : WEST COXSACKIE
State : NY
Zip : 12192-3605
Country : US
Telephone Number : 518-731-9000
Fax Number : 518-731-9119
Authorized Official
Title or Position : CFO
Name : MRS. PAMELA T HASSETT
Credential :
Telephone Number : 518-731-9000
Provider Enumeration Date : 06/04/2006
Last Update Date : 01/31/2008

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Directions to “EMURGENT CARE MEDICINE PLLC ” Practice Location

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