| Upstate Medical Group | |
|
2 Emma Ln Suite 2 Clifton Park NY 12065-3763 | |
| (518) 383-4198 | |
| Not Available |
| Full Name | Upstate Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Emma Ln, Clifton Park, New York |
| Authorized Official Name and Position | Anthony Troitino (PRESIDENT) |
| Authorized Official Contact | 5183834198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Medical Group 2 Emma Ln Suite 2 Clifton Park NY 12065-3763 Ph: (518) 383-4198 | Upstate Medical Group 2 Emma Ln Suite 2 Clifton Park NY 12065-3763 Ph: (518) 383-4198 |
| NPI Number | 1649544750 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649544750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 122852 (New York) | Primary |
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