Organization
LETTRICK FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A LETTRICK MD (CEO)
(518) 466-2287
Entity
Organization
Contact information
Practice address
1528 COLUMBIA TPKE, CASTLETON, NY 12033-9584
(518) 466-2287
(518) 477-1255
Mailing address
1528 COLUMBIA TPKE, CASTLETON, NY 12033-9584
(518) 466-2287
(518) 477-1255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
189372
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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