Center For Family Practice
Family Medicine in Latham, NY. Organization (NPI-2).
NPI number1801969043
StatusActive
Last updated in NPPESJan 25, 2016
Details
- NPI
- 1801969043
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Family Practice
- Organization subpart
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jan 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1356241 | NY | Yes |
Practice location
8 Century Hill DriveLatham, NY 12110
Phone 518-783-7173 · Fax 518-783-5426
Mailing address
8 Century Hill DriveLatham, NY 12110
Phone 518-783-7173 · Fax 518-783-5426
Authorized official
Gerald J Hausler
Business Practice Owner
5187837173
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