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

TaxonomyCodeLicense
Specialist Primary 174400000X158672-1 (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.