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1134 State Route 29 Greenwich NY 12834-6107 | |
(518) 692-9861 | |
(518) 692-7947 |
Full Name | |
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Speciality | Family Medicine |
Location | 1134 State Route 29, Greenwich, 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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100 Park Street Glens Falls Hospital - Credentialing Glens Falls NY 12801-4413 Ph: (518) 926-5924 | 1134 State Route 29 Greenwich NY 12834-6107 Ph: (518) 692-9861 |
NPI Number | 1407103922 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 04/02/2024 |
Identifier | Type | State | Issuer |
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1407103922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |