Doc Peacocks Greenfield Country Medicine, Pllc
LBN: Doc Peacocks Greenfield Country Medicine, Pllc
Doc Peacocks Greenfield Country Medicine, Pllc is an health care organization with primary practice located at 68 West Ave Ste 3 , Saratoga Springs NY 12866-6044. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Doc Peacocks Greenfield Country Medicine, Pllc can be contacted via phone (518) 450-9180, or through Peacock, Jama via phone (518) 893-6075.
Contact Information
Primary practice address
68 West Ave Ste 3
Saratoga Springs NY 12866-6044
Phone: (518) 450-9180
Fax: (518) 886-1690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 239931 | New York |
Profile Details
| NPI number | 1538314828 |
|---|---|
| LBN Legal business name | Doc Peacocks Greenfield Country Medicine, Pllc |
| DBA Doing business as | |
| Authorized official | Peacock, Jama Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2008 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538314828 | NPPES |
| New York | MEDICAID | 02804144 |
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