| Dearie Preventative Medicine Professional Corporation | |
|
418 Broadway Ste N Albany NY 12207-2922 | |
| (206) 486-2053 | |
| Not Available |
| Full Name | Dearie Preventative Medicine Professional Corporation |
|---|---|
| Speciality | Preventive Medicine |
| Location | 418 Broadway Ste N, Albany, New York |
| Authorized Official Name and Position | Jennifer Whalen (DIRECTOR) |
| Authorized Official Contact | 2177373508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearie Preventative Medicine Professional Corporation Po Box 7241 Tacoma WA 98417-0241 Ph: (206) 486-2053 | Dearie Preventative Medicine Professional Corporation 418 Broadway Ste N Albany NY 12207-2922 Ph: (206) 486-2053 |
| NPI Number | 1154138352 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 02/25/2025 |
| Medicare PECOS PAC ID | 4385174739 |
|---|---|
| Medicare Enrollment ID | O20250213003683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154138352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Dearie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770697989 PECOS PAC ID: 3072410752 Enrollment ID: I20250213003711 |
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