| 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 |