Equinox Inc | |
95 Central Ave Albany NY 12206-2213 | |
(518) 435-9931 | |
(518) 435-9937 |
Full Name | Equinox Inc |
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Speciality | Clinic/Center |
Location | 95 Central Ave, Albany, New York |
Authorized Official Name and Position | Andy Joslin (CFO) |
Authorized Official Contact | 5184359931 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Equinox Inc 500 Central Ave Albany NY 12206-2213 Ph: (518) 435-9931 | Equinox Inc 95 Central Ave Albany NY 12206-2213 Ph: (518) 435-9931 |
NPI Number | 1477695021 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 06/23/2016 |
Medicare PECOS PAC ID | 7416946538 |
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Medicare Enrollment ID | O20040512000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477695021 | NPI | - | NPPES |
02581964 | Medicaid | NY | |
01021874 | Medicaid | NY |
Provider Name | Robert M Hertz |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598757247 PECOS PAC ID: 3971694910 Enrollment ID: I20070806000733 |
Provider Name | Sean Endress |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124251640 PECOS PAC ID: 8426217175 Enrollment ID: I20120315000502 |
Provider Name | Carolyn J Konig |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871866707 PECOS PAC ID: 8123281821 Enrollment ID: I20120516000397 |
Provider Name | Claudia Warren |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568748200 PECOS PAC ID: 8820251150 Enrollment ID: I20120523000411 |
Provider Name | Lori S Matulewicz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679993828 PECOS PAC ID: 4486872629 Enrollment ID: I20140829000320 |
Provider Name | Marianne Milks-hines |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376987081 PECOS PAC ID: 2163712688 Enrollment ID: I20160610001740 |
Provider Name | Arif Shahabuddin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558522383 PECOS PAC ID: 8527359157 Enrollment ID: I20161208000928 |
Provider Name | Emily M Meyers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093386989 PECOS PAC ID: 6406254598 Enrollment ID: I20211004001700 |
Provider Name | Laura A Fernandez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1770126922 PECOS PAC ID: 5698111078 Enrollment ID: I20240307001936 |
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Case Management Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Green Street, Albany, NY 12202 Phone: 518-447-4550 Fax: 518-447-2045 | |
National Alliance On Mental Illness-new York State Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Pine St, Suite 105, Albany, NY 12207 Phone: 518-462-2000 |