OrganizationJohn P Handago Physician PcSpecialistOther Service ProvidersPractice Address390 Crystal Run Rd, 104, Middletown, NY 10941-7000(845) 703-3050PECOS EnrollmentBased on the most recent information from CMS, provider John P Handago Physician Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1336265941Provider TypeOrganizationFull NameJohn P Handago Physician PcSubpartNoEnumeration Date3/22/2007Last Updated8/7/2008Contact InformationPractice LocationPractice Address390 Crystal Run Rd, 104, Middletown, NY 10941-7000Phone(845) 703-3050Fax(845) 703-3055Mailing LocationMailing Address390 Crystal Run Rd, Suite 104, Middletown, NY 10941-4050Phone(845) 703-3050Fax(845) 703-3055Authorized OfficialNameHandago, John Paul (President)Phone(845) 703-3050Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense132248New York