Organization
FAMILY MEDICAL CARE ASSOCIATES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY LUSHKEVICH (OFFICE MANAGER)
(518) 234-8745
Entity
Organization
Contact information
Practice address
132 MACARTHUR AVE, COBLESKILL, NY 12043-3603
(518) 234-8745
Mailing address
132 MACARTHUR AVE, COBLESKILL, NY 12043-3603
(518) 234-8745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA0596
MEDICARE GROUP
NY
Enumeration date
05/08/2007
Last updated
07/25/2007
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