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NPI Code Detail

MEDICARE: ENDION MEDICAL SERVICES, PC

MEDICARE: ENDION MEDICAL SERVICES, PC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1003827262
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDION MEDICAL SERVICES, PC
Provider Business Mailing Address
First Line : PO BOX 1487
Second Line :
City : CLIFTON PARK
State : NY
Zip : 12065-0806
Country : US
Telephone Number : 518-383-5450
Fax Number : 518-383-4223
Provider Business Practice Location Address
First Line : 127 NORTH ST
Second Line : @UNITED MEMORIAL MEDICAL CENTER
City : BATAVIA
State : NY
Zip : 14020-1631
Country : US
Telephone Number : 585-343-6030
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOHN A BRACH
Credential : MD
Telephone Number : 518-383-5450
Provider Enumeration Date : 08/11/2006
Last Update Date : 08/22/2020

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