Organization
CENTRAL ADIRONDACK FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C WEBSTER MD (PARTNER)
(315) 369-6619
Entity
Organization
Contact information
Practice address
114 SOUTH SHORE RD., OLD FORGE, NY 13420-0207
(315) 369-6619
(315) 369-6533
Mailing address
PO BOX 207, OLD FORGE, NY 13420-0207
(315) 369-6619
(315) 369-6533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01196932
—
NY
Enumeration date
12/04/2006
Last updated
08/22/2020
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