Organization
FAMILY MEDICINE OF MECHANICVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID BERMUDEZ MD (OWNER)
(518) 664-4185
Entity
Organization
Contact information
Practice address
242 S CENTRAL AVE, MECHANICVILLE, NY 12118-3522
(518) 664-4185
(518) 539-2003
Mailing address
242 S CENTRAL AVE, MECHANICVILLE, NY 12118-3522
(518) 664-4185
(518) 539-2003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
236934
NY
Other
Enumeration date
04/21/2009
Last updated
09/14/2009
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