Scotia Glenville Family Medicine, P.c.
NPI #1619922218 in Ballston Lake, New York
Provider Information
- NPI Number
- 1619922218
- Entity Type
- Organization
- Organization Name
- Scotia Glenville Family Medicine, P.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 112 CHARLTON RD
- City
- Ballston Lake
- State
- New York
- ZIP Code
- 12019-2547
- Phone
- (518) 399-7723
Authorized Official
- Name
- MS. DIANE K CLARKE, M.D.
- Title
- RN/NURSE MANAGER
- Phone
- (518) 399-7723
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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