Andrew W. Garner, MD Adirondack Direct Primary Care, PLLC Glens Falls, NY 12801New York • November 22nd, 2020
Jurisdiction FiledNovember 22nd, 2020This is an Agreement entered into on _______________________________20____, by and between ADIRONDACK DIRECT PRIMARY CARE, PLLC with its address at 8 HARRISON AVENUE, GLENS FALLS, NY 12801, ANDREW W GARNER M.D. (Physician) in his capacity as owner of ADIRONDACK DIRECT PRIMARY CARE, PLLC (further referenced as ADPC) and ____________________________________, Date of Birth: _______/______/_____ (Patient) starting January 1, 2021.