NPI | 1013497502 |
---|---|
Doing Business As | ELLIS PRIMARY CARE PLUS |
Entity Type | Organization |
Authorized Contact | PAUL A MILTON CEO 518-243-4175 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 4601001H) |
Enumeration Date | 2018-08-15 |
Last Update Date | 2018-08-17 |