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Primecare Family Medicine

Family Medicine in Dobbs Ferry, NY. Organization (NPI-2).

NPI number1790790574
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1790790574
Entity type
Organization (NPI-2)
Legal business name
Primecare Family Medicine
Organization subpart
No
Enumeration date
Jul 30, 2006
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine204658NYYes

Practice location

20 Beacon Hill Dr Ste 2b
Dobbs Ferry, NY 10522-2402

Phone 914-591-6888 · Fax 914-591-7938

Mailing address

20 Beacon Hill Dr Ste 2b
Dobbs Ferry, NY 10522-2402

Phone 914-591-6888 · Fax 914-591-7938

Authorized official

Dorothea Kelligrew
Medical Billing Manager
9146313640

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Dobbs Ferry, NY

All 10 Family Medicine Physician providers in Dobbs Ferry · All 571 providers in Dobbs Ferry

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