Family Practice Of Hudson Falls, Pc | |
340a Main St Hudson Falls NY 12839-1530 | |
(518) 747-4117 | |
(518) 747-9837 |
Full Name | Family Practice Of Hudson Falls, Pc |
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Speciality | Family Medicine |
Location | 340a Main St, Hudson Falls, New York |
Authorized Official Name and Position | Bonnie L Ballweber (OFFICE MANAGER) |
Authorized Official Contact | 5187474117 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Practice Of Hudson Falls, Pc 340a Main Street Hudson Falls NY 12839 Ph: (518) 747-4117 | Family Practice Of Hudson Falls, Pc 340a Main St Hudson Falls NY 12839-1530 Ph: (518) 747-4117 |
NPI Number | 1386753119 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 03/08/2020 |
Medicare PECOS PAC ID | 5799776993 |
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Medicare Enrollment ID | O20040518000978 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386753119 | NPI | - | NPPES |
1083685465 | Other | NY | NPI |
1013999820 | Other | NY | NPI |
1336121516 | Other | NY | NPI |
1871575605 | Other | NY | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David L Foote |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013999820 PECOS PAC ID: 5496746695 Enrollment ID: I20040524000092 |
Provider Name | Antonio Izzo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720405863 PECOS PAC ID: 9436381480 Enrollment ID: I20140407001151 |
Hudson Falls Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Hudson Falls, NY 12839 Phone: 518-747-3376 Fax: 518-747-8745 | |
Adirondack Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Maple St, Hudson Falls, NY 12839 Phone: 518-746-1722 Fax: 518-746-1704 |