| Malta Medical Care, P.c. | |
|
2554 Route 9 Ballston Spa NY 12020 | |
| (518) 899-5002 | |
| Not Available |
| Full Name | Malta Medical Care, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2554 Route 9, Ballston Spa, New York |
| Authorized Official Name and Position | Morgan Vittengl (OWNER) |
| Authorized Official Contact | 5188995002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malta Medical Care, P.c. 2554 Route 9 Ballston Spa NY 12020 Ph: (518) 899-5002 | Malta Medical Care, P.c. 2554 Route 9 Ballston Spa NY 12020 Ph: (518) 899-5002 |
| NPI Number | 1518135979 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 0941352157 |
|---|---|
| Medicare Enrollment ID | O20090720000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518135979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 170365 (New York) | Primary |
| Provider Name | Michelle Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144316662 PECOS PAC ID: 8820064454 Enrollment ID: I20040907000081 |
| Provider Name | Morgan J Vittengl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245305291 PECOS PAC ID: 5698827806 Enrollment ID: I20090720000298 |
| Provider Name | Katie Vittengl Yeaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205358892 PECOS PAC ID: 9931473329 Enrollment ID: I20170925000084 |
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