| Pulaski Medical Urgent Care, P.c | |
|
3858 State Route 13 Pulaski NY 13142-2400 | |
| (315) 298-2273 | |
| Not Available |
| Full Name | Pulaski Medical Urgent Care, P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 3858 State Route 13, Pulaski, New York |
| Authorized Official Name and Position | Jay F Sullivan (OWNER) |
| Authorized Official Contact | 3154153529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulaski Medical Urgent Care, P.c Po Box 74 Pulaski NY 13142-0074 Ph: (315) 298-2273 | Pulaski Medical Urgent Care, P.c 3858 State Route 13 Pulaski NY 13142-2400 Ph: (315) 298-2273 |
| NPI Number | 1568829356 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 02/09/2016 |
| Medicare PECOS PAC ID | 1951608579 |
|---|---|
| Medicare Enrollment ID | O20160328000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568829356 | NPI | - | NPPES |
| 03297174 | Medicaid | NY | |
| 03215529 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 169461 (New York) | Primary |
| Provider Name | Jay F Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861426413 PECOS PAC ID: 2860534534 Enrollment ID: I20100119000012 |
| Provider Name | William J Larock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356658710 PECOS PAC ID: 1052595097 Enrollment ID: I20110415000152 |
| Provider Name | Erin K Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922429695 PECOS PAC ID: 5597988626 Enrollment ID: I20140519001010 |
| Provider Name | Meredith Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255873451 PECOS PAC ID: 6204118649 Enrollment ID: I20170120000406 |
| Provider Name | Shannon Leigh Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669049599 PECOS PAC ID: 7113323833 Enrollment ID: I20210903002386 |
| Provider Name | Amy M Nicoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588426324 PECOS PAC ID: 6103262894 Enrollment ID: I20240318000067 |
Northern Oswego County Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-1901 | |
Northern Oswego County Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Hinman Rd, Pulaski, NY 13142 Phone: 315-298-2570 Fax: 315-298-7831 | |
Jay F Sullivan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4882b North Jefferson St, Pulaski, NY 13142 Phone: 315-298-2768 | |
Northern Oswego County Health Services, Inc. Dba Connextcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Northern Oswego County Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4624 Salina St, Pulaski, NY 13142 Phone: 315-298-2696 Fax: 315-298-7831 |