| Community Care Family Practice Ballston Spa | |
|
20 Prospect St Ballston Spa NY 12020-1367 | |
| (518) 885-3755 | |
| (518) 885-4613 |
| Full Name | Community Care Family Practice Ballston Spa |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Prospect St, Ballston Spa, New York |
| Authorized Official Name and Position | Debby Coons (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5182130478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Family Practice Ballston Spa 711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 Ph: (518) 782-3700 | Community Care Family Practice Ballston Spa 20 Prospect St Ballston Spa NY 12020-1367 Ph: (518) 885-3755 |
| NPI Number | 1548541246 |
|---|---|
| Provider Enumeration Date | 09/08/2011 |
| Last Update Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548541246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Saratoga County Department Of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6012 County Farm Rd, Ballston Spa, NY 12020 Phone: 518-584-7460 Fax: 518-583-1202 |