Ellis Primary Care - Ballston Spa | |
990 State Route 67 Ste 101 Ballston Spa NY 12020-3603 | |
(518) 889-8450 | |
Not Available |
Full Name | Ellis Primary Care - Ballston Spa |
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Speciality | Clinic/center - Primary Care |
Location | 990 State Route 67 Ste 101, Ballston Spa, New York |
Authorized Official Name and Position | Paul A Milton (CEO) |
Authorized Official Contact | 5182434175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ellis Primary Care - Ballston Spa 990 State Route 67 Ste 101 Ballston Spa NY 12020-3603 Ph: (518) 889-8450 | Ellis Primary Care - Ballston Spa 990 State Route 67 Ste 101 Ballston Spa NY 12020-3603 Ph: (518) 889-8450 |
NPI Number | 1871073353 |
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Provider Enumeration Date | 08/15/2018 |
Last Update Date | 08/15/2018 |
Identifier | Type | State | Issuer |
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1871073353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 4601001H (New York) | 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 |