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1804 2nd Ave Watervliet NY 12189-2818 | |
(518) 833-6900 | |
(518) 833-6919 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1804 2nd Ave, Watervliet, New York |
Authorized Official Name and Position | Mary Connolly (CFO) |
Authorized Official Contact | 5184654771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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920 Lark Dr Albany NY 12207-1300 Ph: (518) 465-4771 | 1804 2nd Ave Watervliet NY 12189-2818 Ph: (518) 833-6900 |
NPI Number | 1073960100 |
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Provider Enumeration Date | 05/18/2016 |
Last Update Date | 06/05/2017 |
Medicare PECOS PAC ID | 6507830031 |
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Medicare Enrollment ID | O20170622000847 |
Identifier | Type | State | Issuer |
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1073960100 | NPI | - | NPPES |
Shakil Ali Virjee Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1533 2nd Ave, Watervliet, NY 12189 Phone: 518-274-3424 Fax: 518-274-3428 |