| Vladimir Andries Pc | |
|
7256 Route 209 Wawarsing NY 12489 | |
| (845) 647-5334 | |
| (845) 294-4333 |
| Full Name | Vladimir Andries Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7256 Route 209, Wawarsing, New York |
| Authorized Official Name and Position | Vladimir G Andries (OWNER) |
| Authorized Official Contact | 8456475334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vladimir Andries Pc Po Box 375 Wawarsing NY 12489-0375 Ph: (845) 647-5334 | Vladimir Andries Pc 7256 Route 209 Wawarsing NY 12489 Ph: (845) 647-5334 |
| NPI Number | 1780759548 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780759548 | NPI | - | NPPES |
| 31451 | Other | NY | PROF SVCS CORP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31451 (New York) | Primary |
Comprehensive Ny Professional Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7256 Route 209, Wawarsing, NY 12489 Phone: 845-728-8872 |