| Jda Medical PLLC | |
|
2535 Genesee St Utica NY 13501-6251 | |
| (315) 225-3534 | |
| Not Available |
| Full Name | Jda Medical PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2535 Genesee St, Utica, New York |
| Authorized Official Name and Position | Jeffrey Amidon (OWNER) |
| Authorized Official Contact | 3152253534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jda Medical PLLC 10 Loughlin Ave Cos Cob CT 06807-2616 | Jda Medical PLLC 2535 Genesee St Utica NY 13501-6251 Ph: (315) 225-3534 |
| NPI Number | 1689419830 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 0749720415 |
|---|---|
| Medicare Enrollment ID | O20240909002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689419830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Jeffrey D Amidon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457492688 PECOS PAC ID: 7416902713 Enrollment ID: I20050321000144 |
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