| Ellis Medicine Urology - Clifton Park | |
|
103 Sitterly Rd Ste 2200 Halfmoon NY 12065-5646 | |
| (518) 243-3311 | |
| Not Available |
| Full Name | Ellis Medicine Urology - Clifton Park |
|---|---|
| Speciality | Clinic/center |
| Location | 103 Sitterly Rd Ste 2200, Halfmoon, New York |
| Authorized Official Name and Position | Cynthia Ann Wicks (MANAGER ACCOUNTS RECEIVABLE) |
| Authorized Official Contact | 5183822313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Medicine Urology - Clifton Park Po Box 1022 Schenectady NY 12301-1022 | Ellis Medicine Urology - Clifton Park 103 Sitterly Rd Ste 2200 Halfmoon NY 12065-5646 Ph: (518) 243-3311 |
| NPI Number | 1679335624 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679335624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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