NPI | 1366332579 |
---|---|
Doing Business As | HEIRLOOM FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MEGHAN MONTHIE Md 518-288-8318 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2025-07-08 |
Last Update Date | 2025-07-08 |