| Ms Center Of Northeastern New York, Pc | |
|
1205 Troy Schenectady Rd Suite 105 Latham NY 12110-1074 | |
| (518) 785-1000 | |
| (518) 785-5000 |
| Full Name | Ms Center Of Northeastern New York, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1205 Troy Schenectady Rd, Latham, New York |
| Authorized Official Name and Position | Keith R Edwards (CEO) |
| Authorized Official Contact | 5187851000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Center Of Northeastern New York, Pc 6 John St Hoosick Falls NY 12090-1604 Ph: (518) 205-5153 | Ms Center Of Northeastern New York, Pc 1205 Troy Schenectady Rd Suite 105 Latham NY 12110-1074 Ph: (518) 785-1000 |
| NPI Number | 1750492740 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750492740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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