Individual ProviderJames George MacconchieStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4246(607) 798-5111(732) 691-5434PECOS EnrollmentBased on the most recent information from CMS, provider James George Macconchie 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 ID1508351925Provider TypeIndividualFull NameMacconchie, James GeorgeTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/27/2018Last Updated4/22/2024Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4246Phone(607) 798-5111FaxUnlisted FaxMailing LocationMailing Address791 Heritage Way, Toms River, NJ 08753-3482Phone(732) 691-5434FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerNew YorkCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseMT216945PennsylvaniaProvider IdentifiersIDDescriptionIssuerIDMT216945DescriptionOtherIssuerSTATE BOARD OF MEDICINEPennsylvania