| Plum Halo Medical, Pllc | |
|
233 Route 17 Suite 207 Tuxedo Park NY 10987-4406 | |
| (845) 915-3061 | |
| Not Available |
| Full Name | Plum Halo Medical, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 233 Route 17, Tuxedo Park, New York |
| Authorized Official Name and Position | Luis Collar (PRESIDENT AND CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8459153061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plum Halo Medical, Pllc 233 Route 17 Suite 207 Tuxedo Park NY 10987-4406 Ph: (845) 915-3061 | Plum Halo Medical, Pllc 233 Route 17 Suite 207 Tuxedo Park NY 10987-4406 Ph: (845) 915-3061 |
| NPI Number | 1700450087 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700450087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Kazbay Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 83 Salierno Rd, Tuxedo Park, NY 10987 Phone: 646-745-4150 |