# GREENVILLE MEDICAL ASSOCIATE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033141932
- **Authorized official:** DR. WALTER W. HUBICKI II MD (PRESIDENT)
- **Authorized official phone:** (518) 966-4433

## Contact information

- **Practice address:** 77 COUNTY ROUTE 26A, GREENVILLE, NY 12083-3921
- **Practice address phone:** (518) 966-4433
- **Practice address fax:** (518) 966-4728
- **Mailing address:** PO BOX 98, GREENVILLE, NY 12083-0098
- **Mailing address phone:** (518) 966-4433
- **Mailing address fax:** (518) 966-4728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 227740 | NY | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 08/22/2020