| Center For Family Practice | |
|
8 Century Hill Drive Latham NY 12110 | |
| (518) 783-7173 | |
| (518) 783-5426 |
| Full Name | Center For Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Century Hill Drive, Latham, New York |
| Authorized Official Name and Position | Gerald J Hausler (BUSINESS PRACTICE OWNER) |
| Authorized Official Contact | 5187837173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Family Practice 8 Century Hill Drive Latham NY 12110 Ph: (518) 783-7173 | Center For Family Practice 8 Century Hill Drive Latham NY 12110 Ph: (518) 783-7173 |
| NPI Number | 1801969043 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 01/25/2016 |
| Medicare PECOS PAC ID | 8628091972 |
|---|---|
| Medicare Enrollment ID | O20060112000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801969043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1356241 (New York) | Primary |
| Provider Name | Alan T Betit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871632109 PECOS PAC ID: 1254431810 Enrollment ID: I20070711000572 |
| Provider Name | Gerald J Hausler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902988561 PECOS PAC ID: 7618990961 Enrollment ID: I20120131000139 |
| Provider Name | Theodore S Hausler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629413075 PECOS PAC ID: 8820386998 Enrollment ID: I20161006000153 |
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