| NPI | 1811244684 |
|---|---|
| Other Name | FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 282N00000X General Acute Care Hospital (Licence: NY 4102002H) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2022-03-07 |