Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glens Falls Hospital Inc

Organization Family Medicine Physician · NPI 1619222759

Glens Falls Hospital Inc is a Family Medicine Physician in Granville, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

79 N St
Granville, NY 12832-1137
Phone: (518) 642-0612
Fax: (518) 642-0693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NY)
Pediatrics Physician Taxonomy 208000000X (NY)

Record details

NPI number1619222759
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGlens Falls Hospital Inc
Authorized official Paul Scimeca — Interim President/Ceo · (518) 926-5902
Other names Granville Family Health; Granville Family Health
NPI enumeratedJuly 16, 2012
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413

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