| Amanda Ray, DO | |
|
61 Delano St, Northern Oswego County Health Services, Inc., Pulaski, NY 13142-1400 | |
| (315) 298-6569 | |
| (315) 298-7488 |
| Full Name | Amanda Ray |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 61 Delano St, Pulaski, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366763872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 266704 (New York) | Primary |
| Entity Name | Crouse Health Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841340205 PECOS PAC ID: 9739173774 Enrollment ID: O20040413000018 |
| Entity Name | Port City Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134370547 PECOS PAC ID: 0345301917 Enrollment ID: O20081202000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Ray, DO 61 Delano St, Northern Oswego County Health Services, Inc., Pulaski, NY 13142-1400 Ph: (315) 298-6569 | Amanda Ray, DO 61 Delano St, Northern Oswego County Health Services, Inc., Pulaski, NY 13142-1400 Ph: (315) 298-6569 |
Jay W Chapman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968 | |
Grace Nasri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 | |
Patricia L Chapman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Charles C Kim, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488 | |
Glenn F Thibault, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488 | |
Dr. Patrick J Carguello, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 |