NPI | 1528548823 |
---|---|
Doing Business As | ELLIS MEDICINE AT MOHAWK HARBOR - PRIMARY CARE |
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 | 2018-08-16 |
Last Update Date | 2018-08-16 |