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500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 | |
| (703) 256-1600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 500 Marquette Ave Nw Ste 1200, Albuquerque, New Mexico |
| Authorized Official Name and Position | Andrew Schneck (COO) |
| Authorized Official Contact | 7032531600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
169 Madison Ave # 11841 New York NY 10016-5101 Ph: (703) 256-1600 | 500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 Ph: (703) 256-1600 |
| NPI Number | 1306528534 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306528534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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