Organization
ELLIS HOSPITAL
Active
Parent organization
ELLIS HOSPITAL
Other names
Ellis Primary Care - Malta
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIS HOSPITAL
Authorized official
PAUL A MILTON (CEO)
(518) 243-4175
Entity
Organization
Contact information
Practice address
2537 ROUTE 9, SUITE 203, MALTA, NY 12020
(518) 289-2400
Mailing address
2537 ROUTE 9, SUITE 203, MALTA, NY 12020
(518) 289-2400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4601001H
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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