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100 Saratoga Village Blvd Ste 34 Ballston Spa NY 12020-3738 | |
(518) 899-2632 | |
(518) 899-6418 |
Full Name | |
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Speciality | Clinic/Center |
Location | 100 Saratoga Village Blvd Ste 34, Ballston Spa, New York |
Authorized Official Name and Position | Eugene K Merecki (OWNER) |
Authorized Official Contact | 5188992632 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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100 Saratoga Village Blvd Ste 34 Ballston Spa NY 12020-3738 Ph: (518) 899-2632 | 100 Saratoga Village Blvd Ste 34 Ballston Spa NY 12020-3738 Ph: (518) 899-2632 |
NPI Number | 1962527630 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 07/08/2010 |
Medicare PECOS PAC ID | 4183789977 |
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Medicare Enrollment ID | O20090211000136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962527630 | NPI | - | NPPES |
AA1411 | Other | NY | NATIONAL GOVERNMENT SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 180894 (New York) | Primary |
Provider Name | Eugene K Merecki |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720070808 PECOS PAC ID: 2264597053 Enrollment ID: I20090211000128 |
Provider Name | Felicia A Heber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790123388 PECOS PAC ID: 0244472645 Enrollment ID: I20130814000979 |
Meyer, Malin And Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 418 Geyser Rd, Suite 14, Ballston Spa, NY 12020 Phone: 518-584-5331 Fax: 518-584-5332 | |
Malta Medical Care, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2554 Route 9, Ballston Spa, NY 12020 Phone: 518-899-5002 | |