| Candice Michelle Ciolac, MD | |
|
481 State Route 11, Champlain, NY 12919-4819 | |
| (518) 298-2691 | |
| (518) 298-8241 |
| Full Name | Candice Michelle Ciolac |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 481 State Route 11, Champlain, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073776795 | NPI | - | NPPES |
| 04368172 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 283262 (New York) | Primary |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Michelle Ciolac, MD 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Candice Michelle Ciolac, MD 481 State Route 11, Champlain, NY 12919-4819 Ph: (518) 298-2691 |
Maurice A Racine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Aaron Esterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Stephanie Papaconstantinou, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Lisa Marie Skarling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Jessica S King, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 481 Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Nicole Brianna Cerklewich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8421 |