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6 Medical Park Dr Suite 206 Malta NY 12020-5061 | |
| (518) 289-2718 | |
| (518) 583-8796 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 6 Medical Park Dr, Malta, New York |
| Authorized Official Name and Position | Gary L Foster (VP AND CFO) |
| Authorized Official Contact | 5188865800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6 Medical Park Dr Suite 206 Malta NY 12020-5061 Ph: (518) 289-2718 | 6 Medical Park Dr Suite 206 Malta NY 12020-5061 Ph: (518) 289-2718 |
| NPI Number | 1831553387 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831553387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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