| River Park Family Medicine, Pc | |
|
15 Hospital Dr Suite B Massena NY 13662-1037 | |
| (315) 764-1447 | |
| (315) 764-1447 |
| Full Name | River Park Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Hospital Dr, Massena, New York |
| Authorized Official Name and Position | Elizabeth Logalbo (DO/OWNER) |
| Authorized Official Contact | 3157641447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Park Family Medicine, Pc 908 Niagara Falls Blvd Suite 208 North Tonawanda NY 14120-2019 Ph: (716) 692-3302 | River Park Family Medicine, Pc 15 Hospital Dr Suite B Massena NY 13662-1037 Ph: (315) 764-1447 |
| NPI Number | 1447581079 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447581079 | NPI | - | NPPES |
| 02632048 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 188335 (New York) | Primary |
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