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920 Lark Dr Whitney M. Young Jr. Health Center - Mobile Van Albany NY 12207-1300 | |
(518) 465-4771 | |
(518) 320-3022 |
Full Name | |
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Speciality | Clinic/Center |
Location | 920 Lark Dr, Albany, New York |
Authorized Official Name and Position | David H Shippee (CEO/PRESIDENT) |
Authorized Official Contact | 5184654771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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320 Seventh Avenue Troy NY 12182 Ph: (518) 465-4771 | 920 Lark Dr Whitney M. Young Jr. Health Center - Mobile Van Albany NY 12207-1300 Ph: (518) 465-4771 |
NPI Number | 1235537655 |
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Provider Enumeration Date | 12/17/2014 |
Last Update Date | 12/17/2014 |
Medicare PECOS PAC ID | 6507830031 |
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Medicare Enrollment ID | O20160311000226 |
Identifier | Type | State | Issuer |
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1235537655 | NPI | - | NPPES |
00473565 | Medicaid | NY |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |