Quality Telehealth Np In Psychiatry, Pllc | |
401 New Karner Rd Ste 301 Albany NY 12205-3854 | |
(838) 200-6310 | |
Not Available |
Full Name | Quality Telehealth Np In Psychiatry, Pllc |
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Speciality | Clinic/Center |
Location | 401 New Karner Rd Ste 301, Albany, New York |
Authorized Official Name and Position | Yandama Bangura (NURSE PRACTITIONER IN PSYCHIATRY) |
Authorized Official Contact | 8382006310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Quality Telehealth Np In Psychiatry, Pllc 242 Bayard Rd Upper Darby PA 19082-4704 Ph: (610) 304-9554 | Quality Telehealth Np In Psychiatry, Pllc 401 New Karner Rd Ste 301 Albany NY 12205-3854 Ph: (838) 200-6310 |
NPI Number | 1982481941 |
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Provider Enumeration Date | 09/13/2023 |
Last Update Date | 08/26/2024 |
Certification Date | 08/26/2024 |
Medicare PECOS PAC ID | 8325494909 |
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Medicare Enrollment ID | O20231102002248 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982481941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Yandama Bangura |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083166045 PECOS PAC ID: 6608143573 Enrollment ID: I20220127002489 |
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