Central Leatherstocking Medical, Pllc

LBN: Central Leatherstocking Medical, Pllc
Central Leatherstocking Medical, Pllc is an health care organization with primary practice located at 943 Us Highway 20 , West Winfield NY 13491-1920. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Central Leatherstocking Medical, Pllc can be contacted via phone (315) 822-3200, or through Booth, Joseph C via phone (315) 822-3200.

Contact Information

Primary practice address
943 Us Highway 20 West Winfield NY 13491-1920
Phone: (315) 822-3200
Fax: (315) 822-5193
Website:
Map and Directions
Authorized official contact:
Name: Booth, Joseph C Doctor of Medicine (MD)
Phone: (315) 822-3200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 175678 New York

Profile Details

NPI number 1578585014
LBN Legal business name Central Leatherstocking Medical, Pllc
DBA Doing business as
Authorized official Booth, Joseph C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578585014 NPPES
New York MEDICAID 02702638

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