| Centralmed Urgent Care And Primary Care Llp | |
|
1662 Central Ave Colonie NY 12205-4059 | |
| (518) 240-1456 | |
| (607) 800-4134 |
| Full Name | Centralmed Urgent Care And Primary Care Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1662 Central Ave, Colonie, New York |
| Authorized Official Name and Position | Nosa D Aigbe Lebarty (OWNER) |
| Authorized Official Contact | 5189510740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centralmed Urgent Care And Primary Care Llp 1662 Central Ave Colonie NY 12205-4059 Ph: (518) 240-1456 | Centralmed Urgent Care And Primary Care Llp 1662 Central Ave Colonie NY 12205-4059 Ph: (518) 240-1456 |
| NPI Number | 1932721032 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Medicare PECOS PAC ID | 1254756216 |
|---|---|
| Medicare Enrollment ID | O20200807000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932721032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Jina Nocera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538105887 PECOS PAC ID: 6406851666 Enrollment ID: I20060921000121 |
| Provider Name | Nosa D Aigbe Lebarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629385315 PECOS PAC ID: 3577719335 Enrollment ID: I20120809000669 |
| Provider Name | Kathleen A Millett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508517004 PECOS PAC ID: 9436544848 Enrollment ID: I20220322002516 |