| Village Medical Pllc | |
|
7 Chapin Lane Pawling NY 12564 | |
| (845) 855-0084 | |
| (845) 855-1897 |
| Full Name | Village Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7 Chapin Lane, Pawling, New York |
| Authorized Official Name and Position | Patrice T Passidomo (OWNER) |
| Authorized Official Contact | 8458550084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Medical Pllc 7 Chapin Lane Pawling NY 12564 Ph: (845) 855-0084 | Village Medical Pllc 7 Chapin Lane Pawling NY 12564 Ph: (845) 855-0084 |
| NPI Number | 1518022755 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518022755 | NPI | - | NPPES |
| 01256197 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 175691 (New York) | Primary |
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