| Quality Telehealth Np In Psychiatry, Pllc | |
|
418 Broadway Ste N Albany NY 12207-2922 | |
| (838) 200-6310 | |
| Not Available |
| Full Name | Quality Telehealth Np In Psychiatry, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 418 Broadway Ste N, Albany, New York |
| Authorized Official Name and Position | Yandama Bangura (NURSE PRACTITIONER IN PSYCHIATRY) |
| Authorized Official Contact | 8382006310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Telehealth Np In Psychiatry, Pllc 1060 Broadway #1088 Albany NY 12204 Ph: () - | Quality Telehealth Np In Psychiatry, Pllc 418 Broadway Ste N Albany NY 12207-2922 Ph: (838) 200-6310 |
| NPI Number | 1982481941 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/12/2023 |
| Medicare PECOS PAC ID | 8325494909 |
|---|---|
| Medicare Enrollment ID | O20231102002248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982481941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Yandama Bangura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083166045 PECOS PAC ID: 6608143573 Enrollment ID: I20220127002489 |
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