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

Scotia Glenville Family Medicine, PC

Organization Family Medicine Physician · NPI 1619922218

Scotia Glenville Family Medicine, PC is a Family Medicine Physician in Ballston Lake, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

112 Charlton Rd
Ballston Lake, NY 12019-2547
Phone: (518) 399-7723
Fax: (518) 399-6428
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1678721 (NY)

Record details

NPI number1619922218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Clarke — Rn/Nurse Manager · (518) 399-7723
NPI enumeratedMay 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing address112 Charlton Rd, Ballston Lake, NY 12019-2547

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