| Burnt Hills Pediatrics & Internal Medicine | |
|
1184 State Route 50 Ballston Lake NY 12019-1923 | |
| (518) 384-1281 | |
| (518) 384-0321 |
| Full Name | Burnt Hills Pediatrics & Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1184 State Route 50, Ballston Lake, New York |
| Authorized Official Name and Position | Diane M Stamas (SENIOR CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5187823742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burnt Hills Pediatrics & Internal Medicine 711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 Ph: (518) 782-3799 | Burnt Hills Pediatrics & Internal Medicine 1184 State Route 50 Ballston Lake NY 12019-1923 Ph: (518) 384-1281 |
| NPI Number | 1134403561 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 10/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134403561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 184003 (New York) | Primary |
Scotia Glenville Family Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Charlton Rd, Ballston Lake, NY 12019 Phone: 518-399-7723 Fax: 518-399-6428 | |
For Cdphp Use Only Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Charlton Rd, Cdphp Site, Ballston Lake, NY 12019 Phone: 518-399-7723 Fax: 518-399-6428 |