| Jack M Mancus MD PC | |
|
37 Miles Wood Rd Rhinebeck NY 12572-1852 | |
| (845) 242-2630 | |
| (845) 876-2844 |
| Full Name | Jack M Mancus MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 37 Miles Wood Rd, Rhinebeck, New York |
| Authorized Official Name and Position | Jack M Mancus (PRESIDENT) |
| Authorized Official Contact | 8452422630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack M Mancus MD PC 37 Miles Wood Rd Rhinebeck NY 12572-1852 Ph: (845) 242-2630 | Jack M Mancus MD PC 37 Miles Wood Rd Rhinebeck NY 12572-1852 Ph: (845) 242-2630 |
| NPI Number | 1700053139 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700053139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1440301 (New York) | Primary |
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