| Ellis Primary Care - Glenville | |
|
115 Saratoga Rd Ste 200 Glenville NY 12302-4224 | |
| (518) 243-3360 | |
| Not Available |
| Full Name | Ellis Primary Care - Glenville |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 115 Saratoga Rd Ste 200, Glenville, 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 - Glenville 115 Saratoga Rd Ste 200 Glenville NY 12302-4224 Ph: (518) 243-3360 | Ellis Primary Care - Glenville 115 Saratoga Rd Ste 200 Glenville NY 12302-4224 Ph: (518) 243-3360 |
| NPI Number | 1548740848 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548740848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4601001H (New York) | Primary |
Dr Paul Baumgarten Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Saratoga Rd 2-1, The Foot Doctor, Glenville, NY 12302 Phone: 518-346-6000 | |
Glenridge Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Glenridge Rd, Glenville, NY 12302 Phone: 518-399-0909 Fax: 518-399-2640 |