| Upper Hudson Planned Parenthood Inc. | |
|
855 Central Ave. Albany NY 12206 | |
| (518) 434-5678 | |
| (518) 434-8153 |
| Full Name | Upper Hudson Planned Parenthood Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 855 Central Ave., Albany, New York |
| Authorized Official Name and Position | Michelle Hegan (PRESIDENT/CEO) |
| Authorized Official Contact | 5184345678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Hudson Planned Parenthood Inc. 855 Central Ave. Albany NY 12206 Ph: (518) 434-5678 | Upper Hudson Planned Parenthood Inc. 855 Central Ave. Albany NY 12206 Ph: (518) 434-5678 |
| NPI Number | 1881755601 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 04/05/2017 |
| Medicare PECOS PAC ID | 4284803743 |
|---|---|
| Medicare Enrollment ID | O20110818000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881755601 | NPI | - | NPPES |
| 00301139 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101204R (New York) | Primary |
| Provider Name | Lee M Stetzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871690743 PECOS PAC ID: 9739267014 Enrollment ID: I20080428000357 |
| Provider Name | Brigid E Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861612814 PECOS PAC ID: 3274608203 Enrollment ID: I20080826000362 |
| Provider Name | Maureen Gara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912005810 PECOS PAC ID: 1658403282 Enrollment ID: I20100719000109 |
| Provider Name | Jacqueline A Dall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376901595 PECOS PAC ID: 6709177132 Enrollment ID: I20160615001323 |
| Provider Name | Janeen E Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851519664 PECOS PAC ID: 3779878053 Enrollment ID: I20160825001570 |
| Provider Name | Rachel Flink Bochacki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336438019 PECOS PAC ID: 7810209582 Enrollment ID: I20170901002294 |
| Provider Name | Amanda Ellen Forbes Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093240186 PECOS PAC ID: 9133468903 Enrollment ID: I20190222001869 |
| Provider Name | Madeline Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659735769 PECOS PAC ID: 1153616578 Enrollment ID: I20190828002951 |
| Provider Name | Kassandra Petit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083290860 PECOS PAC ID: 2365851011 Enrollment ID: I20210510000261 |
| Provider Name | Susannah Louis Kricker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710481643 PECOS PAC ID: 0446590244 Enrollment ID: I20211101002367 |
| Provider Name | Vanesa Elizabeth Samos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114595139 PECOS PAC ID: 3870983505 Enrollment ID: I20211210002119 |
| Provider Name | Caitlin Danaher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164175345 PECOS PAC ID: 9032504097 Enrollment ID: I20220310000511 |
| Provider Name | Mary Ellen Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578299053 PECOS PAC ID: 2264802453 Enrollment ID: I20230104002112 |
| Provider Name | Canivory Pettiway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033846878 PECOS PAC ID: 7214309731 Enrollment ID: I20230209002856 |
| Provider Name | Charlotte Lucinda Marek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174398382 PECOS PAC ID: 0244682839 Enrollment ID: I20240119000069 |
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