Organization
BETHEL MEDICAL FAMILY PRACTICE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMRAN AHMED MD (OWNER)
(845) 583-5620
Entity
Organization
Contact information
Practice address
1522 STATE ROUTE 17B, WHITE LAKE, NY 12786-5428
(845) 583-5620
(845) 583-8084
Mailing address
1522 STATE ROUTE 17B, PO BOX 570, WHITE LAKE, NY 12786-5428
(845) 583-5620
(845) 583-8084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
12/28/2007
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