| American Horizon Medical Pllc | |
|
1500 2nd Ave Watervliet NY 12189-2800 | |
| (518) 369-7694 | |
| Not Available |
| Full Name | American Horizon Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 2nd Ave, Watervliet, New York |
| Authorized Official Name and Position | Tahir Effendi (OWNER) |
| Authorized Official Contact | 5183697694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Horizon Medical Pllc Po Box 5406 Clifton Park NY 12065-0866 Ph: (518) 369-7694 | American Horizon Medical Pllc 1500 2nd Ave Watervliet NY 12189-2800 Ph: (518) 369-7694 |
| NPI Number | 1922278035 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 4981783057 |
|---|---|
| Medicare Enrollment ID | O20080501000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922278035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 209567 (New York) | Primary |
| Provider Name | Tahir Effendi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285739789 PECOS PAC ID: 3870532203 Enrollment ID: I20050426000834 |
| Provider Name | Marsha A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346324100 PECOS PAC ID: 4183931256 Enrollment ID: I20150922002443 |
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