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315 South Manning Blvd Albany NY 12208-1707 | |
(518) 525-6560 | |
Not Available |
Full Name | |
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Speciality | Pediatrics |
Location | 315 South Manning Blvd, Albany, New York |
Authorized Official Name and Position | Courtney Knowles (CREDENTIALING MANAGER) |
Authorized Official Contact | 5185255634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 14890 Albany NY 12212-4890 Ph: () - | 315 South Manning Blvd Albany NY 12208-1707 Ph: (518) 525-6560 |
NPI Number | 1265508659 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 10/11/2021 |
Identifier | Type | State | Issuer |
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1265508659 | NPI | - | NPPES |
02333773 | 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 |