Malone Internal Medicine Pc | |
16 3rd St Malone NY 12953 | |
(518) 483-4400 | |
(518) 483-1333 |
Full Name | Malone Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 16 3rd St, Malone, New York |
Authorized Official Name and Position | Craig Warren Richards (PHYSICIAN) |
Authorized Official Contact | 5184834400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Malone Internal Medicine Pc 16 3rd St Malone NY 12953 Ph: (518) 483-4400 | Malone Internal Medicine Pc 16 3rd St Malone NY 12953 Ph: (518) 483-4400 |
NPI Number | 1275515025 |
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Provider Enumeration Date | 11/17/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275515025 | NPI | - | NPPES |
01955586 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 213152 (New York) | Primary |
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