| NPI | 1518550037 |
|---|---|
| Other Name | CMH-MAIN STREET FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | BRYAN T. MAHONEY Chief Financial Officer 518-828-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-07-21 |