| Park Place Pediatrics, LLC | |
|
701 Union St Schenectady NY 12305-1504 | |
| (518) 374-1610 | |
| (518) 374-3512 |
| Full Name | Park Place Pediatrics, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 701 Union St, Schenectady, New York |
| Authorized Official Name and Position | Hadi Koohsari (OWNER) |
| Authorized Official Contact | 5183741610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Pediatrics, LLC 701 Union St Schenectady NY 12305-1504 Ph: (518) 374-1610 | Park Place Pediatrics, LLC 701 Union St Schenectady NY 12305-1504 Ph: (518) 374-1610 |
| NPI Number | 1962673327 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962673327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 208608 (New York) | Primary |
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