| Niskayuna Internal Medicine | |
|
2125 River Rd Ste 103 Schenectady NY 12309-1108 | |
| (518) 382-7500 | |
| (518) 382-7572 |
| Full Name | Niskayuna Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2125 River Rd Ste 103, Schenectady, New York |
| Authorized Official Name and Position | Diane M Stamas (SENIOR CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5187823742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niskayuna Internal Medicine 6 Wellness Way Ste 201 Latham NY 12110-2156 Ph: (518) 782-3700 | Niskayuna Internal Medicine 2125 River Rd Ste 103 Schenectady NY 12309-1108 Ph: (518) 382-7500 |
| NPI Number | 1043594476 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043594476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 160342 (New York) | Primary |
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