| Cfdshc, Inc | |
|
314 South Manning Blvd Albany NY 12208-1708 | |
| (518) 437-5900 | |
| (518) 437-5705 |
| Full Name | Cfdshc, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 314 South Manning Blvd, Albany, New York |
| Authorized Official Name and Position | Maria Nicole Kasas-devine (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5184375535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cfdshc, Inc 314 South Manning Blvd Albany NY 12208-1708 Ph: (518) 437-5900 | Cfdshc, Inc 314 South Manning Blvd Albany NY 12208-1708 Ph: (518) 437-5900 |
| NPI Number | 1881289585 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881289585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
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