Dr EPHRAIM E BACK MD is a male medical professional, specializing in Family Medicine. He graduated in 1984 from State University Of New York At Buffalo School Of Medicine.
HUDSON HEADWATERS HEALTH NETWORK
102 RACE TRACK RD
SUITE 1
TICONDEROGA
NY
128834004
Tel: 5185856708
| Npi | 1649295254 |
| Pac Id | 0547228009 |
| Professional Enrollment Id | I20041230000026 |
| Last Name | BACK |
| First Name | EPHRAIM |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | HUDSON HEADWATERS HEALTH NETWORK |
| Group Practice Pac Id | 7416861208 |
| Number Of Group Practice Members | 137 |
| Line 1 Street Address | 102 RACE TRACK RD |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | TICONDEROGA |
| State | NY |
| Zip Code | 128834004 |
| Phone Number | 5185856708 |
| Hospital Affiliation Ccn 1 | 331302 |
| Hospital Affiliation Lbn 1 | ELIZABETHTOWN COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 330004 |
| Hospital Affiliation Lbn 2 | HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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