Ghi Family Dental Practice | |
1873 Western Ave Suite 200 Albany NY 12203-5028 | |
(518) 869-1044 | |
(518) 869-1965 |
Full Name | Ghi Family Dental Practice |
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Speciality | Clinic/center - Dental |
Location | 1873 Western Ave, Albany, New York |
Authorized Official Name and Position | Jonathan Benn E. Benn (BUSINESS MANAGER) |
Authorized Official Contact | 5188691717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ghi Family Dental Practice 1873 Western Ave Suite 200 Albany NY 12203-5028 Ph: (518) 869-1044 | Ghi Family Dental Practice 1873 Western Ave Suite 200 Albany NY 12203-5028 Ph: (518) 869-1044 |
NPI Number | 1629175831 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629175831 | NPI | - | NPPES |
00473592 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 0101210R (New York) | Primary |
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