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103 Sitterly Rd Ste 2300 Halfmoon NY 12065-5646 | |
(518) 579-2650 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 103 Sitterly Rd Ste 2300, Halfmoon, 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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103 Sitterly Rd Ste 2300 Halfmoon NY 12065-5646 Ph: (518) 579-2650 | 103 Sitterly Rd Ste 2300 Halfmoon NY 12065-5646 Ph: (518) 579-2650 |
NPI Number | 1639659931 |
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Provider Enumeration Date | 08/16/2018 |
Last Update Date | 08/16/2018 |
Identifier | Type | State | Issuer |
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1639659931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 4601001H (New York) | Primary |
Ellis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Sitterly Rd Ste 2200, Halfmoon, NY 12065 Phone: 518-243-3311 | |