| NPI | 1225142045 |
|---|---|
| Other Name | MAIN STREET MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ANJNI G BHAGAT President 518-483-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-12-15 |