Family Medicine Of Malta | |
2388 Route 9 Suite 200 Mechancville NY 12118 | |
(518) 899-5390 | |
(518) 899-5343 |
Full Name | Family Medicine Of Malta |
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Speciality | Family Medicine |
Location | 2388 Route 9, Mechancville, New York |
Authorized Official Name and Position | Marc D Price (FAMILY PHYSICIAN) |
Authorized Official Contact | 5188995390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medicine Of Malta 2388 Route 9 Suite 200 Mechancville NY 12118 Ph: (518) 899-5390 | Family Medicine Of Malta 2388 Route 9 Suite 200 Mechancville NY 12118 Ph: (518) 899-5390 |
NPI Number | 1902816473 |
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Provider Enumeration Date | 08/08/2006 |
Last Update Date | 10/21/2010 |
Medicare PECOS PAC ID | 8527089267 |
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Medicare Enrollment ID | O20051209000478 |
Identifier | Type | State | Issuer |
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1902816473 | NPI | - | NPPES |
02312641 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 219996 (New York) | Primary |
Provider Name | Marc D Price |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346445194 PECOS PAC ID: 2062433717 Enrollment ID: I20051213000264 |
Provider Name | Shannon Klingebiel |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1770735623 PECOS PAC ID: 2466447560 Enrollment ID: I20091207000100 |
Provider Name | Manish Saha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619201167 PECOS PAC ID: 1052595899 Enrollment ID: I20110404000085 |
Provider Name | Christine Carle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013352228 PECOS PAC ID: 5092094979 Enrollment ID: I20161116002734 |
Provider Name | Samantha Ellis |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1285044750 PECOS PAC ID: 2365841657 Enrollment ID: I20210518001940 |