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WYNANTSKILL FAMILY PRACTICE P.C. NPI 1306032545


NPI Information

NPI: 1306032545
Provider Name: WYNANTSKILL FAMILY PRACTICE P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D0161818

Address:
9 W SAND LAKE RD
WYNANTSKILL, NY
ZIP 12198
Phone: (518) 283-1974
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WYNANTSKILL FAMILY PRACTICE P.C. is a family medicine in Wynantskill, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WYNANTSKILL FAMILY PRACTICE P.C. NPI is 1306032545. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 W SAND LAKE RD
WYNANTSKILL, NY
ZIP 12198-954
Phone: (518) 283-1974
Fax: (518) 283-2018

The provider's authorized official is Ritchie J Parrotta .
The authorized official title is Physician and has the following contact phone number (518) 283-1974.

The CLIA number assigned to this NPI record is 33D0161818 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 12/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
153191AMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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