| NPI | 1154757102 |
|---|---|
| Other Name | FAMILY PRACTICE AT MALTA |
| Entity Type | Organization |
| Authorized Contact | GARY FOSTER VP & CFO 518-583-8497 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2015-01-09 |