| Douglas Ahn, M.d., P.l.l.c. | |
|
122 Business Park Dr Suite 1 Utica NY 13502-6321 | |
| (315) 738-7883 | |
| (315) 738-0347 |
| Full Name | Douglas Ahn, M.d., P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 122 Business Park Dr, Utica, New York |
| Authorized Official Name and Position | Douglas Ahn (PRESIDENT) |
| Authorized Official Contact | 3157387883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Ahn, M.d., P.l.l.c. 122 Business Park Dr Suite 1 Utica NY 13502-6321 Ph: (315) 738-7883 | Douglas Ahn, M.d., P.l.l.c. 122 Business Park Dr Suite 1 Utica NY 13502-6321 Ph: (315) 738-7883 |
| NPI Number | 1104018191 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 09/26/2012 |
| Medicare PECOS PAC ID | 3577640499 |
|---|---|
| Medicare Enrollment ID | O20080402000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104018191 | NPI | - | NPPES |
| 02614184 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 229831 (New York) | Primary |
| Provider Name | Douglas Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609934025 PECOS PAC ID: 8921098161 Enrollment ID: I20040518000540 |
A Louis Shaheen Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Eagle Street, Utica, NY 13501 Phone: 315-735-4447 Fax: 315-735-4071 | |
Toby A Taylor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Genesee St, Utica, NY 13502 Phone: 315-735-4246 Fax: 315-735-4247 | |
Upstate Family Health Center Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Noyes St, Utica, NY 13502 Phone: 315-624-9470 Fax: 315-624-9480 | |
William A Graber Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Business Park Dr Ste 150, Utica, NY 13502 Phone: 315-235-2540 Fax: 315-235-2171 | |
Mosaic Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Parkside Ct Bldg 1, Utica, NY 13501 Phone: 585-325-2280 | |
Kelberman Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Court St Ste 140, Utica, NY 13502 Phone: 315-797-6241 Fax: 315-749-7054 |