Organization
AXIS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPESH PATEL M.D. (PRESIDENT)
(845) 473-8996
Entity
Organization
Contact information
Practice address
15 FULTON AVE, POUGHKEEPSIE, NY 12603-2315
(845) 473-8996
Mailing address
15 FULTON AVE, POUGHKEEPSIE, NY 12603-2315
(845) 473-8996
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
F340980-1
NY
305S00000X
Point of Service
F340980-1
NY
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
F340980-1
NY
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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