Northend Medical Practice Pllc | |
1365 Van Antwerp Rd Apt # E39 Niskayuna NY 12309-4441 | |
(518) 374-1014 | |
(518) 374-1014 |
Full Name | Northend Medical Practice Pllc |
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Speciality | Clinic/center - Primary Care |
Location | 1365 Van Antwerp Rd, Niskayuna, New York |
Authorized Official Name and Position | Rakesh Malhotra (OWNER) |
Authorized Official Contact | 5183741014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northend Medical Practice Pllc 1365 Van Antwerp Rd Apt # E39 Niskayuna NY 12309-4441 Ph: (518) 374-1014 | Northend Medical Practice Pllc 1365 Van Antwerp Rd Apt # E39 Niskayuna NY 12309-4441 Ph: (518) 374-1014 |
NPI Number | 1154429017 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154429017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 227718 (New York) | Primary |
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