| Telefixnp | |
|
1388 Cosgrove St Watertown NY 13601-4544 | |
| (315) 777-2749 | |
| Not Available |
| Full Name | Telefixnp |
|---|---|
| Speciality | Family Medicine |
| Location | 1388 Cosgrove St, Watertown, New York |
| Authorized Official Name and Position | Phyl Mckinney (OWNER/MEMBER) |
| Authorized Official Contact | 3157772749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telefixnp 1388 Cosgrove St Watertown NY 13601-4544 Ph: (315) 777-2749 | Telefixnp 1388 Cosgrove St Watertown NY 13601-4544 Ph: (315) 777-2749 |
| NPI Number | 1700471158 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700471158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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