| Albany Area Gastroenterology | |
|
112 Great Oaks Blvd Albany NY 12203-5953 | |
| (518) 862-1332 | |
| Not Available |
| Full Name | Albany Area Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 112 Great Oaks Blvd, Albany, New York |
| Authorized Official Name and Position | Jeffrey R Gerson (OWNER) |
| Authorized Official Contact | 5188621332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albany Area Gastroenterology 112 Great Oaks Blvd Albany NY 12203-5953 Ph: (518) 862-1332 | Albany Area Gastroenterology 112 Great Oaks Blvd Albany NY 12203-5953 Ph: (518) 862-1332 |
| NPI Number | 1447345731 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 12/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447345731 | NPI | - | NPPES |
| 02493956 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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