| Central Adirondack Family Practice | |
| 
					114 South Shore Rd. Old Forge NY 13420-0207  | |
| (315) 369-6619 | |
| (315) 369-6533 | 
| Full Name | Central Adirondack Family Practice | 
|---|---|
| Speciality | Family Medicine | 
| Location | 114 South Shore Rd., Old Forge, New York | 
| Authorized Official Name and Position | Mark C Webster (PARTNER) | 
| Authorized Official Contact | 3153696619 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Central Adirondack Family Practice Po Box 207 Old Forge NY 13420-0207 Ph: (315) 369-6619  | Central Adirondack Family Practice 114 South Shore Rd. Old Forge NY 13420-0207 Ph: (315) 369-6619  | 
| NPI Number | 1306914627 | 
|---|---|
| Provider Enumeration Date | 12/04/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306914627 | NPI | - | NPPES | 
| 01196932 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 124353 (New York) | Primary |