Ellis Primary Care - Malta | |
2537 Route 9 Suite 203 Malta NY 12020 | |
(518) 289-2400 | |
Not Available |
Full Name | Ellis Primary Care - Malta |
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Speciality | Clinic/center - Primary Care |
Location | 2537 Route 9, Malta, 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 - Malta 2537 Route 9 Suite 203 Malta NY 12020 Ph: (518) 289-2400 | Ellis Primary Care - Malta 2537 Route 9 Suite 203 Malta NY 12020 Ph: (518) 289-2400 |
NPI Number | 1881174381 |
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Provider Enumeration Date | 08/15/2018 |
Last Update Date | 08/15/2018 |
Identifier | Type | State | Issuer |
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1881174381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 4601001H (New York) | Primary |
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