| Park Preventative Care LLC | |
|
11 Medical Park Dr Ste 101 Pomona NY 10970-3559 | |
| (914) 376-6100 | |
| (914) 470-5056 |
| Full Name | Park Preventative Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Medical Park Dr Ste 101, Pomona, New York |
| Authorized Official Name and Position | Melissa Nieli (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9143766100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Preventative Care LLC 11 Medical Park Dr Ste 101 Pomona NY 10970-3559 | Park Preventative Care LLC 11 Medical Park Dr Ste 101 Pomona NY 10970-3559 Ph: (914) 376-6100 |
| NPI Number | 1841766110 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841766110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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