| NPI | 1619222759 |
|---|---|
| Other Name | GRANVILLE FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL SCIMECA Interim President/CEO 518-926-5902 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2024-04-02 |