| John M. Pramenko, MD, P.C. | |
|
2310 Nott St E Niskayuna NY 12309-4303 | |
| (518) 381-4133 | |
| Not Available |
| Full Name | John M. Pramenko, MD, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 2310 Nott St E, Niskayuna, New York |
| Authorized Official Name and Position | John M Pramenko (PRESIDENT) |
| Authorized Official Contact | 5183814133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John M. Pramenko, MD, P.C. 2310 Nott St E Niskayuna NY 12309-4303 Ph: (518) 381-4133 | John M. Pramenko, MD, P.C. 2310 Nott St E Niskayuna NY 12309-4303 Ph: (518) 381-4133 |
| NPI Number | 1821293309 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 12/12/2007 |
| Medicare PECOS PAC ID | 8921193566 |
|---|---|
| Medicare Enrollment ID | O20070927000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821293309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203711 (New York) | Primary |
| Provider Name | Jaclyn M Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891761474 PECOS PAC ID: 3072570316 Enrollment ID: I20041217000511 |
| Provider Name | John M Pramenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477529048 PECOS PAC ID: 6204921844 Enrollment ID: I20070927000648 |
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