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Jeffrey R. Ridha M.d. P.c.
Medical Specialty Clinic/Center in Saratoga Springs, New York
NPI 1639442742

Jeffrey R. Ridha M.d. P.c. is a Medical Specialty Clinic/Center based in Saratoga Springs, NY and is specialized in Medical Specialty. Jeffrey R. Ridha M.d. P.c. practices in Saratoga Springs, NY. The NPI Number for Jeffrey R. Ridha M.d. P.c. is 1639442742 and holds a License No. 229760 (New York).

The current practice location address for Jeffrey R. Ridha M.d. P.c. is 72 Railroad Pl, Saratoga Springs, NY and can be reached out via phone at 518-306-5466 and via fax at 518-306-5470.

Location: 72 Railroad Pl, Saratoga Springs, NY, 12866-3008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639442742
Provider Name
Jeffrey R. Ridha M.d. P.c.
Credential
Provider Entity Type
Organization
Address
72 Railroad Pl, Saratoga Springs, NY, 12866-3008
Phone Number
518-306-5466
Fax Number
518-306-5470
Provider Enumeration Date
02/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J100072789 01 NY MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
72 Railroad Pl
City
Saratoga Springs
State
New York
Zip
12866-3008
Phone Number
518-306-5466
Fax Number
518-306-5470
person
Provider Business Mailing Address Details
Address
72 Railroad Pl
City
Saratoga Springs
State
New York
Zip
12866-3008
Phone Number
518-306-5466
Fax Number
518-306-5470
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
229760 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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