| Lebarty Medical Pllc | |
|
317 Danielle Dr Schenectady NY 12303-5179 | |
| (518) 951-0740 | |
| (518) 280-1214 |
| Full Name | Lebarty Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 317 Danielle Dr, Schenectady, New York |
| Authorized Official Name and Position | Nosa Dennis Aigbe Lebarty (OWNER) |
| Authorized Official Contact | 5189510740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebarty Medical Pllc 317 Danielle Dr Schenectady NY 12303-5179 Ph: () - | Lebarty Medical Pllc 317 Danielle Dr Schenectady NY 12303-5179 Ph: (518) 951-0740 |
| NPI Number | 1104468099 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 04/09/2020 |
| Medicare PECOS PAC ID | 2668801200 |
|---|---|
| Medicare Enrollment ID | O20200403000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104468099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jina Nocera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538105887 PECOS PAC ID: 6406851666 Enrollment ID: I20060921000121 |
| Provider Name | Nosa D Aigbe Lebarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629385315 PECOS PAC ID: 3577719335 Enrollment ID: I20120809000669 |
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