| NPI | 1639392871 |
|---|---|
| Other Name | GUILDERLAND FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DURDANA MEHTABDIN Owner 518-464-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-10-21 |