| Upper Delaware Valley Infectious Diseases,pc | |
|
427 Broadway Suite 1 Monticello NY 12701-1742 | |
| (845) 794-6813 | |
| (845) 794-6816 |
| Full Name | Upper Delaware Valley Infectious Diseases,pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 427 Broadway, Monticello, New York |
| Authorized Official Name and Position | Gary R. Good (PRESIDENT) |
| Authorized Official Contact | 8457946813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Delaware Valley Infectious Diseases,pc 427 Broadway Suite 1 Monticello NY 12701-1742 Ph: (845) 794-6813 | Upper Delaware Valley Infectious Diseases,pc 427 Broadway Suite 1 Monticello NY 12701-1742 Ph: (845) 794-6813 |
| NPI Number | 1033445481 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033445481 | NPI | - | NPPES |
| 01518258 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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