| Ellis Primary Care - Clifton Park | |
|
103 Sitterly Rd Ste 2300 Halfmoon NY 12065-5646 | |
| (518) 579-2650 | |
| Not Available |
| Full Name | Ellis Primary Care - Clifton Park |
|---|---|
| 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 |
|---|---|
| Ellis Primary Care - Clifton Park 103 Sitterly Rd Ste 2300 Halfmoon NY 12065-5646 Ph: (518) 579-2650 | Ellis Primary Care - Clifton Park 103 Sitterly Rd Ste 2300 Halfmoon NY 12065-5646 Ph: (518) 579-2650 |
| NPI Number | 1639659931 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639659931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4601001H (New York) | Primary |
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