| Guilderland Family Practice | |
|
2022 Western Ave Albany NY 12203-5093 | |
| (518) 464-9000 | |
| Not Available |
| Full Name | Guilderland Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2022 Western Ave, Albany, New York |
| Authorized Official Name and Position | Durdana Mehtabdin (OWNER) |
| Authorized Official Contact | 5184649000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guilderland Family Practice 2022 Western Ave Albany NY 12203-5093 Ph: (518) 464-9000 | Guilderland Family Practice 2022 Western Ave Albany NY 12203-5093 Ph: (518) 464-9000 |
| NPI Number | 1639392871 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639392871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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