| Ellis Primary Care - Malta | |
|
2537 Route 9 Suite 203 Malta NY 12020 | |
| (518) 289-2400 | |
| Not Available |
| Full Name | Ellis Primary Care - Malta |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2537 Route 9, Malta, New York |
| Authorized Official Name and Position | Paul a Milton (CEO) |
| Authorized Official Contact | 5182434175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Primary Care - Malta 2537 Route 9 Suite 203 Malta NY 12020 Ph: (518) 289-2400 | Ellis Primary Care - Malta 2537 Route 9 Suite 203 Malta NY 12020 Ph: (518) 289-2400 |
| NPI Number | 1881174381 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881174381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4601001H (New York) | Primary |
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Saratoga Family Medicine,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Saratoga Village Blvd, Suite 34, Malta, NY 12020 Phone: 518-899-9090 Fax: 518-899-9098 |
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