Organization
GOUVERNEUR FAMILY HEALTH NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L WELBORN IV FNP (OWNER)
(315) 804-5753
Entity
Organization
Contact information
Practice address
8 CLARK ST, PHILADELPHIA, NY 13673-5000
(315) 804-5753
Mailing address
8 CLARK ST, PHILADELPHIA, NY 13673-5000
(315) 804-5753
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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