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

Northwestern Family Medical Ctr

Organization Specialist · NPI 1457572117

Northwestern Family Medical Ctr is a Specialist in Ellenburg, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

16 St Edmunds Way
Ellenburg, NY 12933-9998
Phone: (518) 594-3500
Fax: (518) 594-3035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 158672-1 (NY)

Record details

NPI number1457572117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Lapierre Millen — Collaborating Physician · (518) 594-3500
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 11, 2008
Mailing address16 St Edmunds Way, Ellenburg, NY 12933-9998