| |
112 Great Oaks Blvd Albany NY 12203-5953 | |
(518) 862-1332 | |
Not Available |
Full Name | |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 112 Great Oaks Blvd, Albany, New York |
Authorized Official Name and Position | Jeffrey R Gerson (OWNER) |
Authorized Official Contact | 5188621332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
112 Great Oaks Blvd Albany NY 12203-5953 Ph: (518) 862-1332 | 112 Great Oaks Blvd Albany NY 12203-5953 Ph: (518) 862-1332 |
NPI Number | 1447345731 |
---|---|
Provider Enumeration Date | 10/04/2006 |
Last Update Date | 12/20/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447345731 | NPI | - | NPPES |
02493956 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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 |