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63 Albany Shaker Rd Suite 102 Albany NY 12204-1030 | |
(518) 207-2710 | |
(518) 207-2713 |
Full Name | |
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Speciality | Internal Medicine |
Location | 63 Albany Shaker Rd, Albany, New York |
Authorized Official Name and Position | Paul Gordon (DIR FIN/ADMIN PHYS ENTERPRISE) |
Authorized Official Contact | 5185251585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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315 S Manning Blvd Albany NY 12208-1707 Ph: (518) 525-1585 | 63 Albany Shaker Rd Suite 102 Albany NY 12204-1030 Ph: (518) 207-2710 |
NPI Number | 1760727325 |
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Provider Enumeration Date | 12/07/2012 |
Last Update Date | 01/21/2014 |
Identifier | Type | State | Issuer |
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1760727325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |