Organization
RIDGE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK LEWIS (EXECUTIVE DIRECTOR)
(518) 372-1160
Entity
Organization
Contact information
Practice address
214 STATE ST, SCHENECTADY, NY 12305-1806
(518) 372-1160
(518) 372-8574
Mailing address
214 STATE ST, SCHENECTADY, NY 12305-1806
(518) 372-1160
(518) 372-8574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/08/2011
Last updated
06/26/2023
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