Clifton Springs Medical Service PLLC
Internal Medicine in Clifton Springs, NY. Organization (NPI-2).
NPI number1467592014
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1467592014
- Entity type
- Organization (NPI-2)
- Legal business name
- Clifton Springs Medical Service PLLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4 Coulter RdClifton Springs, NY 14432-1122
Phone 315-462-2633
Mailing address
4 Coulter RdClifton Springs, NY 14432-1122
Authorized official
Chester Nakamura
President
3154622633
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