| Newport Medical, Pllc | |
|
221 E Main St Palmyra NY 14522-1127 | |
| (315) 502-4085 | |
| (315) 502-4086 |
| Full Name | Newport Medical, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 221 E Main St, Palmyra, New York |
| Authorized Official Name and Position | Karen May Nickell (OWNER) |
| Authorized Official Contact | 3155024085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Medical, Pllc 221 E Main St Palmyra NY 14522-1127 Ph: (315) 502-4085 | Newport Medical, Pllc 221 E Main St Palmyra NY 14522-1127 Ph: (315) 502-4085 |
| NPI Number | 1538318050 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538318050 | NPI | - | NPPES |
| P010212521 | Other | NY | BLUE CHOICE |
| MDE045 | Other | PREFERRED CARE | |
| 01914272 | Medicaid | NY | |
| 1142 | Other | BLUE CROSS/ BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 212521 (New York) | Primary |