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NPI Code Detail

MEDICARE: SKIDMORE COLLEGE HEALTH SERVICES

MEDICARE: SKIDMORE COLLEGE HEALTH SERVICES
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
1261QH0100XHealth Service Clinic/CenterF333461NY

General Provider Information

NPI Number : 1821405226
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKIDMORE COLLEGE HEALTH SERVICES
Provider Business Mailing Address
First Line : 815 N BROADWAY
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-1632
Country : US
Telephone Number : 518-580-5550
Fax Number : 518-580-5556
Provider Business Practice Location Address
First Line : 815 N BROADWAY
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-1632
Country : US
Telephone Number : 518-580-5550
Fax Number : 518-580-5556
Authorized Official
Title or Position : DIRECTOR
Name : MRS. PATRICIA BOSEN
Credential : FNP-C
Telephone Number : 518-580-5550
Provider Enumeration Date : 07/17/2014
Last Update Date : 07/17/2014

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Directions to “SKIDMORE COLLEGE HEALTH SERVICES ” Practice Location

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