Organization
EUGENE K. MERECKI, MD PC
Active
Other names
Malta Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE K MERECKI MD (OWNER)
(518) 899-2632
Entity
Organization
Contact information
Practice address
100 SARATOGA VILLAGE BLVD STE 34, BALLSTON SPA, NY 12020-3738
(518) 899-2632
(518) 899-6418
Mailing address
100 SARATOGA VILLAGE BLVD STE 34, BALLSTON SPA, NY 12020-3738
(518) 899-2632
(518) 899-6418
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
180894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA1411
NATIONAL GOVERNMENT SERVICES
NY
Enumeration date
03/20/2007
Last updated
07/08/2010
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