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Organization
PRIMARILY FOR WOMEN MEDICAL PRACTICE PLLC
Active
Organization
PRIMARILY FOR WOMEN MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH C GATH M.D. (OWNER)
(518) 435-1123
Entity
Organization
Contact information
Practice address
1375 WASHINGTON AVE, SUITE 203, ALBANY, NY 12206-1056
(518) 435-1123
(518) 435-1506
Mailing address
1375 WASHINGTON AVE, SUITE 203, ALBANY, NY 12206-1056
(518) 435-1123
(518) 435-1506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401503014
BSNENY
NY
05
—
01508465
—
NY
01
—
10006299
CDPHP
NY
01
—
11948
MVP
NY
01
—
2697144
GHI
NY
Enumeration date
10/04/2006
Last updated
08/22/2020
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