| Peru Family Medicine, Pllc | |
|
9 Elm St Peru NY 12972-2812 | |
| (518) 643-7037 | |
| (518) 643-2125 |
| Full Name | Peru Family Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9 Elm St, Peru, New York |
| Authorized Official Name and Position | David W Smith (SOLE MEMBER) |
| Authorized Official Contact | 5186437037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peru Family Medicine, Pllc Po Box 599 Peru NY 12972-0599 Ph: (518) 643-7037 | Peru Family Medicine, Pllc 9 Elm St Peru NY 12972-2812 Ph: (518) 643-7037 |
| NPI Number | 1255699138 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 04/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255699138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 190218 (New York) | Primary |
David Smith Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Elm St, Peru, NY 12972 Phone: 518-643-7037 Fax: 518-643-2125 |