| Water Street West Integrative Medicine, Pllc | |
|
160 N Main St Ste 130 Elmira NY 14901-2939 | |
| (607) 767-6893 | |
| (866) 453-2143 |
| Full Name | Water Street West Integrative Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 160 N Main St Ste 130, Elmira, New York |
| Authorized Official Name and Position | Joseph Francis Haluska (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6077676893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Water Street West Integrative Medicine, Pllc 160 N Main St Ste 130 Elmira NY 14901-2939 Ph: (607) 767-6893 | Water Street West Integrative Medicine, Pllc 160 N Main St Ste 130 Elmira NY 14901-2939 Ph: (607) 767-6893 |
| NPI Number | 1356886683 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 9234412057 |
|---|---|
| Medicare Enrollment ID | O20170201001933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356886683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 222016 (New York) | Primary |
| Provider Name | Joseph F Haluska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447260740 PECOS PAC ID: 9931192994 Enrollment ID: I20040406000339 |
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