Northwestern Family Medical Ctr

NPI 1457572117 - Specialist - 174400000X

NPI Details
NPI 1457572117
Enumeration Date 05/01/2007
Last Updated 07/11/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA L LISA
Position COLLABORATING PHYSICIAN
Phone (518) 594-3500
Fax (518) 594-3035
Practice Location
16 ST EDMUNDS WAY
ELLENBURG NY, 12933-9998, US
Phone (518) 594-3500
Fax (518) 594-3035
Business Location
16 ST EDMUNDS WAY
ELLENBURG NY, 12933-9998, US
Phone (518) 594-3500
Fax (518) 594-3035
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 158672-1
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According to our database, Northwestern Family Medical Ctr NPI is 1457572117, taxonomy code is 174400000X and license number is 158672-1, license state is located at New York. Northwestern Family Medical Ctr physically located at 16 St Edmunds Way, Ellenburg NY, 12933-9998. NPI Number 1033115704 has the healthcare provider type.

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1457572117 NPI number is provided on an as is basis without warranty of any kind. 1457572117 is maintained by the National Plan & Provider Enumeration System. The contents of Northwestern Family Medical Ctr are for informational purposes only.