| Equinox Inc | |
|
95 Central Ave Albany NY 12206-2213 | |
| (518) 435-9931 | |
| (518) 435-9937 |
| Full Name | Equinox Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 95 Central Ave, Albany, New York |
| Authorized Official Name and Position | Andy Joslin (CFO) |
| Authorized Official Contact | 5184359931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equinox Inc 500 Central Ave Albany NY 12206-2213 Ph: (518) 435-9931 | Equinox Inc 95 Central Ave Albany NY 12206-2213 Ph: (518) 435-9931 |
| NPI Number | 1477695021 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 06/23/2016 |
| Medicare PECOS PAC ID | 7416946538 |
|---|---|
| Medicare Enrollment ID | O20040512000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477695021 | NPI | - | NPPES |
| 02581964 | Medicaid | NY | |
| 01021874 | Medicaid | NY |
| Provider Name | Robert M Hertz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598757247 PECOS PAC ID: 3971694910 Enrollment ID: I20070806000733 |
| Provider Name | Sean Endress |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124251640 PECOS PAC ID: 8426217175 Enrollment ID: I20120315000502 |
| Provider Name | Carolyn J Konig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871866707 PECOS PAC ID: 8123281821 Enrollment ID: I20120516000397 |
| Provider Name | Claudia Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568748200 PECOS PAC ID: 8820251150 Enrollment ID: I20120523000411 |
| Provider Name | Lori S Matulewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679993828 PECOS PAC ID: 4486872629 Enrollment ID: I20140829000320 |
| Provider Name | Marianne Milks-hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376987081 PECOS PAC ID: 2163712688 Enrollment ID: I20160610001740 |
| Provider Name | Arif Shahabuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558522383 PECOS PAC ID: 8527359157 Enrollment ID: I20161208000928 |
| Provider Name | Emily M Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093386989 PECOS PAC ID: 6406254598 Enrollment ID: I20211004001700 |
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