| 63 Shaker Road-suite 102 | |
|
63 Albany Shaker Rd Suite 102 Albany NY 12204-1030 | |
| (518) 207-2710 | |
| (518) 207-2713 |
| Full Name | 63 Shaker Road-suite 102 |
|---|---|
| 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 |
|---|---|
| 63 Shaker Road-suite 102 315 S Manning Blvd Albany NY 12208-1707 Ph: (518) 525-1585 | 63 Shaker Road-suite 102 63 Albany Shaker Rd Suite 102 Albany NY 12204-1030 Ph: (518) 207-2710 |
| NPI Number | 1760727325 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760727325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Sheridan Preparatory Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Sheridan Ave, Albany, NY 12206 Phone: 518-465-4771 | |
Koinonia Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 553 Clinton Ave, Albany, NY 12206 Phone: 518-689-0282 Fax: 518-689-0283 | |
Jose M David The Practice Of Family Medcine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Alton Rd, Albany, NY 12203 Phone: 518-456-4634 | |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Palisades Dr, Suite 200, Albany, NY 12205 Phone: 518-438-0019 Fax: 518-438-0299 | |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Palisades Dr, Suite 100, Albany, NY 12205 Phone: 518-446-9545 Fax: 518-446-9551 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 Western Ave, Albany, NY 12203 Phone: 518-452-2597 | |
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 |