| Carondelet Regional Medical, Pc | |
|
3768 State Highway 30 Broadalbin NY 12025-0923 | |
| (518) 883-3121 | |
| (518) 883-8268 |
| Full Name | Carondelet Regional Medical, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3768 State Highway 30, Broadalbin, New York |
| Authorized Official Name and Position | Ronald N Marsh (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5188436914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carondelet Regional Medical, Pc 3768 State Highway 30 Broadalbin NY 12025-0923 Ph: (518) 883-3121 | Carondelet Regional Medical, Pc 3768 State Highway 30 Broadalbin NY 12025-0923 Ph: (518) 883-3121 |
| NPI Number | 1972296630 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972296630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Carondelet Regional Medical, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3768 State Highway 30, Broadalbin Health Center, Broadalbin, NY 12025 Phone: 518-883-3121 Fax: 518-883-8268 | |
Mayer And Cope Family Practice Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3768 State Highway 30, Broadalbin, NY 12025 Phone: 518-883-3121 |