| Main Street Medical Group | |
|
5 Clay St Malone NY 12953-1905 | |
| (518) 483-0705 | |
| (518) 483-1375 |
| Full Name | Main Street Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Clay St, Malone, New York |
| Authorized Official Name and Position | Anjni G Bhagat (PRESIDENT) |
| Authorized Official Contact | 5184830705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Medical Group 5 Clay St Malone NY 12953-1905 Ph: (518) 483-0705 | Main Street Medical Group 5 Clay St Malone NY 12953-1905 Ph: (518) 483-0705 |
| NPI Number | 1225142045 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 12/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225142045 | NPI | - | NPPES |
| 02957679 | Medicaid | NY | |
| DB3458 | Other | NY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
Hudson Headwaters Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 4th St, Malone, NY 12953 Phone: 518-824-2562 Fax: 833-941-5091 |
Alice Hyde Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-481-2210 Fax: 518-481-2662 |
Malone Internal Medicine PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 3rd St, Malone, NY 12953 Phone: 518-483-4400 Fax: 518-483-1333 |
Jonathan Lowell, M.D. P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Park St, Malone, NY 12953 Phone: 518-483-1120 |
Rajiv S Shah Physician P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Clay St, Malone, NY 12953 Phone: 518-483-0705 Fax: 518-483-1375 |
Alice Hyde Medical Practices Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-481-2212 Fax: 518-481-2662 |