Jay Vickers Dewell in Cobleskill - Family Medicine

Jay Vickers Dewell - NPI 1689748378

Jay Vickers Dewell is a Family Medicine in Cobleskill, New York. Jay Vickers Dewell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jay Vickers Dewell is 1689748378. The last update date is 2007-07-08.

Jay Vickers Dewell's current location address is 133 Legion Drive, Cobleskill, New York. You can contact this provider via phone number 5182344318 and fax number 5182344318. The mailing address for Jay Vickers Dewell is 133 Legion Drive, Cobleskill, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay Vickers Dewell
Address 133 Legion Drive, Cobleskill, New York
Phone Number 5182344318
Fax Number 5182344318
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1689748378
Provider Enumeration Date 2006-11-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 133 Legion Drive
City Cobleskill
State New York (NY)
Post Code 12043
Phone Number 5182344318
Fax Number 5182344318

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 76711
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10000487 NY CAPITAL DISTRICT PHYSICIA
12133 NY EMPIRE BLUE CROSS
381939 NY --
1143 NY MVP HEALTH CARE

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FAQs about Jay Vickers Dewell

What is the unique identifier code issued to Jay Vickers Dewell by the Centers for Medicare & Medicaid Services?

The Jay Vickers Dewell has been assigned the NPI (National Provider Identifier) 1689748378. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jay Vickers Dewell located?

The Jay Vickers Dewell is located at 133 Legion Drive, Cobleskill, NY 12043.

What is Jay Vickers Dewell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jay Vickers Dewell is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689748378 to Jay Vickers Dewell?

The Centers for Medicare & Medicaid Services assigned the 1689748378 to Jay Vickers Dewell on 2006-11-17.

As of what date were the Jay Vickers Dewell's details last updated?

The information pertaining to the Jay Vickers Dewell, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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