| Bethel Medical Family Practice,pc | |
|
1522 State Route 17b White Lake NY 12786-5428 | |
| (845) 583-5620 | |
| (845) 583-8084 |
| Full Name | Bethel Medical Family Practice,pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1522 State Route 17b, White Lake, New York |
| Authorized Official Name and Position | Imran Ahmed (OWNER) |
| Authorized Official Contact | 8455835620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel Medical Family Practice,pc 1522 State Route 17b Po Box 570 White Lake NY 12786-5428 Ph: (845) 583-5620 | Bethel Medical Family Practice,pc 1522 State Route 17b White Lake NY 12786-5428 Ph: (845) 583-5620 |
| NPI Number | 1982718607 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982718607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |