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Organization

IRONGATE FAMILY PRACTICE ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG A EMBLIDGE M.D. (PRESIDENT)
(518) 793-4409
Entity
Organization

Contact information

Practice address
3 IRONGATE CENTER, GLENS FALLS, NY 12801-3471
(518) 793-4409
(518) 615-0140
Mailing address
3 IRONGATE CENTER, GLENS FALLS, NY 12801-3471
(518) 793-4409
(518) 615-0140

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080095470
RAILROAD MEDICARE
NY
01
1290
CDPHP
NY
Enumeration date
07/12/2006
Last updated
08/27/2013
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