Champlain Valley Gastroenterlogy Pc | |
164 Boynton Avenue Suite 5 Plattsburgh NY 12901 | |
(518) 324-7920 | |
(518) 324-7922 |
Full Name | Champlain Valley Gastroenterlogy Pc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 164 Boynton Avenue, Plattsburgh, New York |
Authorized Official Name and Position | Jeffrey Gretz (OWNER) |
Authorized Official Contact | 5183247920 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Champlain Valley Gastroenterlogy Pc 164 Boynton Avenue Suite 5 Plattsburgh NY 12901 Ph: (518) 324-7920 | Champlain Valley Gastroenterlogy Pc 164 Boynton Avenue Suite 5 Plattsburgh NY 12901 Ph: (518) 324-7920 |
NPI Number | 1912075250 |
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Provider Enumeration Date | 12/04/2006 |
Last Update Date | 03/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912075250 | NPI | - | NPPES |
02180243 | Medicaid | NY | |
100015503 | Other | NY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 220526 (New York) | Primary |
Adirondack Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Cornelia St Ste 404, Plattsburgh, NY 12901 Phone: 518-562-7337 | |
William Pelton, Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 164 Boynton Ave, Plattsburgh, NY 12901 Phone: 518-561-1122 | |
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Clinton County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Margaret Street, Plattsburgh, NY 12901 Phone: 518-565-4840 Fax: 518-565-4717 | |
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