Active NPI
Medicine Horse Farm Corp
- PACE Provider Organization
- Morrisonville, NY
National Provider Identifier
1912408477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- MEDICINE HORSE FARM CORP
- Practice address
- 38 Lizzies Lane
Morrisonville, NY 12962 - Phone
- (518) 566-7217
- NPI assigned
- Feb 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Ann Postiglione-Dupell
- Title
- Ceo/ Instructor
- Phone
- (518) 566-7217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | NY | Primary |
Addresses
Primary practice location
38 Lizzies Lane
Morrisonville, NY 12962
Mailing address
38 Lizzies Lane
Morrisonville, NY 12962
Phone (518) 566-7217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03257509 | Other | NY | MEDICAID PROVIDER # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1912408477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 LIZZIES LANE",
"city": "MORRISONVILLE",
"state": "NY",
"postal_code": "12962",
"telephone_number": "518-566-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 LIZZIES LANE",
"city": "MORRISONVILLE",
"state": "NY",
"postal_code": "12962",
"telephone_number": "518-566-7217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE HORSE FARM CORP",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "POSTIGLIONE-DUPELL",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO/ INSTRUCTOR",
"authorized_official_telephone_number": "518-566-7217"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER #",
"identifier": "03257509",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morrisonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.