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Organization
NORTHWESTERN FAMILY MEDICAL CTR
Active
Organization
NORTHWESTERN FAMILY MEDICAL CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L LAPIERRE MILLEN M.D. (COLLABORATING PHYSICIAN)
(518) 594-3500
Entity
Organization
Contact information
Practice address
16 ST EDMUNDS WAY, ELLENBURG, NY 12933-9998
(518) 594-3500
(518) 594-3035
Mailing address
16 ST EDMUNDS WAY, ELLENBURG, NY 12933-9998
(518) 594-3500
(518) 594-3035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
158672-1
NY
Other
Enumeration date
05/01/2007
Last updated
07/11/2008
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