| NPI | 1851353882 |
|---|---|
| Doing Business As | FIVE CORNERS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA MERRITT President 518-357-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2021-05-13 |