MEDICARE: SARATOGA HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1255795696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARATOGA HOSPITAL

Provider Business Mailing Address
First Line	:	3044 ROUTE 50
Second Line	:	FAMILY PHYSICIANS OFFICE
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-3073
Country	:	US
Telephone Number	:	518-886-5800
Fax Number	:	518-886-5805

Provider Business Practice Location Address
First Line	:	3044 ROUTE 50
Second Line	:	FAMILY PHYSICIANS OFFICE
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-3073
Country	:	US
Telephone Number	:	518-886-5800
Fax Number	:	518-886-5805

Authorized Official
Title or Position	:	VP AND CFO
Name	:	MR. GARY L FOSTER
Credential	:
Telephone Number	:	518-886-5800

Provider Enumeration Date	:	04/12/2016
Last Update Date	:	04/12/2016

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