Organization
ELLIS HOSPITAL
Active
Parent organization
ELLIS HOSPITAL
Other names
Ellis Medicine Urology - Clifton Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIS HOSPITAL
Authorized official
CYNTHIA ANN WICKS (MANAGER ACCOUNTS RECEIVABLE)
(518) 382-2313
Entity
Organization
Contact information
Practice address
103 SITTERLY RD STE 2200, HALFMOON, NY 12065-5646
(518) 243-3311
Mailing address
PO BOX 1022, SCHENECTADY, NY 12301-1022
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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