| Convenient Medical Care, Pc | |
|
319 Bay Rd Queensbury NY 12804-1402 | |
| (518) 792-2181 | |
| (518) 792-1531 |
| Full Name | Convenient Medical Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 319 Bay Rd, Queensbury, New York |
| Authorized Official Name and Position | Donald Reynolds Merrihew (DOCTOR/PHYSICIAN) |
| Authorized Official Contact | 5187922181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Convenient Medical Care, Pc 319 Bay Rd Queensbury NY 12804-1402 Ph: (518) 792-2181 | Convenient Medical Care, Pc 319 Bay Rd Queensbury NY 12804-1402 Ph: (518) 792-2181 |
| NPI Number | 1770528473 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 10/27/2015 |
| Medicare PECOS PAC ID | 4880733682 |
|---|---|
| Medicare Enrollment ID | O20091208000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770528473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 148341-1 (New York) | Primary |
| Provider Name | Donald R Merrihew |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568444719 PECOS PAC ID: 1951440759 Enrollment ID: I20091209000448 |
| Provider Name | Kathleen Mary Emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326523176 PECOS PAC ID: 6305909474 Enrollment ID: I20181107000449 |
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