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NPI Code Detail

MEDICARE: GLENS FALLS HOSPITAL INC

MEDICARE: GLENS FALLS HOSPITAL INC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1548518582
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLENS FALLS HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 304
Second Line : ADIRONDACK MEDICAL SERVICES
City : GLENS FALLS
State : NY
Zip : 12801-0304
Country : US
Telephone Number : 518-926-6999
Fax Number : 518-926-6984
Provider Business Practice Location Address
First Line : 135 NORTH RD
Second Line : WILTON FAMILY MEDICINE
City : WILTON
State : NY
Zip : 12831-1308
Country : US
Telephone Number : 518-926-1935
Fax Number : 518-926-4804
Authorized Official
Title or Position : VICE PRESIDENT PHYSICIAN PRACTICES
Name : PAUL SCIMECA
Credential :
Telephone Number : 518-926-5902
Provider Enumeration Date : 08/23/2012
Last Update Date : 10/24/2016

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Directions to “GLENS FALLS HOSPITAL INC ” Practice Location

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