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6012 County Farm Rd Ballston Spa NY 12020-2251 | |
(518) 584-7460 | |
(518) 583-1202 |
Full Name | |
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Speciality | Clinic/Center |
Location | 6012 County Farm Rd, Ballston Spa, New York |
Authorized Official Name and Position | Daniel Kuhles (COMMISSIONER) |
Authorized Official Contact | 5185847460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6012 County Farm Road Ballston Spa NY 12020-2251 Ph: (518) 584-7460 | 6012 County Farm Rd Ballston Spa NY 12020-2251 Ph: (518) 584-7460 |
NPI Number | 1679691745 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 10/19/2023 |
Medicare PECOS PAC ID | 7810983012 |
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Medicare Enrollment ID | O20091119000424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679691745 | NPI | - | NPPES |
00473689 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QP0905X | Clinic/center - Public Health, State Or Local | 4501200R (New York) | Primary |
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 | |