Kathleen Shanley, MD | |
3732 Carman Rd, Schenectady, NY 12303-5422 | |
(518) 356-4132 | |
Not Available |
Full Name | Kathleen Shanley |
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Gender | Female |
Speciality | Pediatrics |
Location | 3732 Carman Rd, Schenectady, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336643618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 311492 (New York) | Primary |
Entity Name | Community Care Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
Mailing Address | Practice Location Address |
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Kathleen Shanley, MD 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Kathleen Shanley, MD 3732 Carman Rd, Schenectady, NY 12303-5422 Ph: (518) 356-4132 |
Hadi Koohsari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Union St, Schenectady, NY 12305 Phone: 518-374-1610 Fax: 518-374-3512 | |
Dr. Michael Paul Sonnekalb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
Stephanie B. Evans, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1044 State St, Schenectady, NY 12307 Phone: 518-370-1441 Fax: 518-395-9431 | |
Dr. James David Saperstone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
Dr. Margaret M Woods, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-372-1384 | |
Dr. Richard Yan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-355-3996 |