| Whitehall Family Medicine | |
|
65 Poultney St Whitehall NY 12887-1543 | |
| (518) 499-2444 | |
| (518) 499-0317 |
| Full Name | Whitehall Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 65 Poultney St, Whitehall, New York |
| Authorized Official Name and Position | Paul Scimeca (INTERIM PRESIDENT/CEO) |
| Authorized Official Contact | 5189265902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehall Family Medicine 100 Park Street Glens Falls Hospital - Credentialing Glens Falls NY 12801-4413 Ph: (518) 926-5924 | Whitehall Family Medicine 65 Poultney St Whitehall NY 12887-1543 Ph: (518) 499-2444 |
| NPI Number | 1861749475 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861749475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 208000000X | Pediatrics | (NU) | Secondary |