| North Country Holistic Care Center | |
|
461 Glen St Glens Falls NY 12801-2906 | |
| (518) 745-5889 | |
| (518) 745-0010 |
| Full Name | North Country Holistic Care Center |
|---|---|
| Speciality | General Practice |
| Location | 461 Glen St, Glens Falls, New York |
| Authorized Official Name and Position | Diane Marie Macdonnell (PROPRIETOR) |
| Authorized Official Contact | 5187455889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Holistic Care Center 461 Glen St Glens Falls NY 12801-2906 Ph: (518) 745-5889 | North Country Holistic Care Center 461 Glen St Glens Falls NY 12801-2906 Ph: (518) 745-5889 |
| NPI Number | 1346463940 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/21/2007 |
| Medicare PECOS PAC ID | 7810089885 |
|---|---|
| Medicare Enrollment ID | O20070822000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346463940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Diane M Macdonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003897398 PECOS PAC ID: 6901885557 Enrollment ID: I20040716000487 |
| Provider Name | Paul G Alagna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790773885 PECOS PAC ID: 7315976305 Enrollment ID: I20050810000401 |
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