Granville Family Health | |
79 North St Granville NY 12832-1137 | |
(518) 642-0612 | |
(518) 642-0693 |
Full Name | Granville Family Health |
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Speciality | Family Medicine |
Location | 79 North St, Granville, New York |
Authorized Official Name and Position | Paul Scimeca (INTERIM PRESIDENT/CEO) |
Authorized Official Contact | 5189265902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Granville Family Health 100 Park Street Glens Falls Hospital - Credentialing Glens Falls NY 12801-4413 Ph: (518) 926-5924 | Granville Family Health 79 North St Granville NY 12832-1137 Ph: (518) 642-0612 |
NPI Number | 1619222759 |
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Provider Enumeration Date | 07/16/2012 |
Last Update Date | 04/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619222759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (New York) | Primary |
208000000X | Pediatrics | (New York) | Secondary |