Organization
DOC MYRIA'S FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIA EMENY M.D. (OWNER)
(518) 797-3238
Entity
Organization
Contact information
Practice address
571 STATE ROUTE 143, WESTERLO, NY 12193
(518) 797-3238
(518) 797-3238
Mailing address
571 STATE ROUTE 143, WESTERLO, NY 12193
(518) 797-3238
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
230768
NY
Other
Enumeration date
06/30/2008
Last updated
07/11/2008
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