| John Robertson M D Family Medicine Pllc | |
|
587 Main St Ste 104 New York Mills NY 13417-1490 | |
| (315) 732-9368 | |
| Not Available |
| Full Name | John Robertson M D Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 587 Main St Ste 104, New York Mills, New York |
| Authorized Official Name and Position | John S Robertson (OWNER) |
| Authorized Official Contact | 3157329368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Robertson M D Family Medicine Pllc 587 Main St Ste 104 New York Mills NY 13417-1490 Ph: () - | John Robertson M D Family Medicine Pllc 587 Main St Ste 104 New York Mills NY 13417-1490 Ph: (315) 732-9368 |
| NPI Number | 1992427736 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Medicare PECOS PAC ID | 3173992088 |
|---|---|
| Medicare Enrollment ID | O20221216000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992427736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John S Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184651770 PECOS PAC ID: 6103049473 Enrollment ID: I20140514001923 |
Infectious Disease Associates Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 587 Main St, Suite 301, New York Mills, NY 13417 Phone: 315-624-6000 Fax: 315-624-4720 |