| Marilyn Von Dollen Np In Psychiatry Llc | |
|
1471 Western Ave Albany NY 12203-3512 | |
| (518) 453-2280 | |
| (518) 453-2282 |
| Full Name | Marilyn Von Dollen Np In Psychiatry Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1471 Western Ave, Albany, New York |
| Authorized Official Name and Position | Marilyn Anne Von Dollen (NURSE PRACTITIONER IN PSYCHIATRY) |
| Authorized Official Contact | 5184532280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn Von Dollen Np In Psychiatry Llc 1471 Western Ave Albany NY 12203-3512 Ph: (518) 453-2280 | Marilyn Von Dollen Np In Psychiatry Llc 1471 Western Ave Albany NY 12203-3512 Ph: (518) 453-2280 |
| NPI Number | 1407038938 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 4789755547 |
|---|---|
| Medicare Enrollment ID | O20080623000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407038938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | F400457-1 (New York) | Primary |
| Provider Name | Marilyn A Vondollen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801961669 PECOS PAC ID: 3678552031 Enrollment ID: I20040719000666 |
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