Organization · Type 2 NPI
Northwestern Family Medical CTR
Specialist · Ellenburg, NY
NPI number
1457572117
Active
Practice location
16 St Edmunds Way
Ellenburg, NY 12933-9998
Fax (518) 594-3035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 158672-1 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1457572117
Northwestern Family Medical CTR's National Provider Identifier is 1457572117, issued on May 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ellenburg, NY. The record was last updated on Jul 11, 2008.