| |
250 Delaware Ave Suite 100 Delmar NY 12054-1420 | |
(518) 439-8077 | |
(518) 439-8070 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 250 Delaware Ave, Delmar, New York |
Authorized Official Name and Position | Diane M Stamas (SENIOR CREDENTIALING COORDINATOR) |
Authorized Official Contact | 5187823742 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 Ph: (518) 782-3700 | 250 Delaware Ave Suite 100 Delmar NY 12054-1420 Ph: (518) 439-8077 |
NPI Number | 1508119389 |
---|---|
Provider Enumeration Date | 10/18/2012 |
Last Update Date | 07/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508119389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 264128 (New York) | Primary |
Andrew D. Coates, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Feura Bush Rd, Delmar, NY 12054 Phone: 518-429-8641 | |
Integrative Medical Associates Of New York, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 Kenwood Ave, Delmar, NY 12054 Phone: 518-689-2244 Fax: 518-689-2081 |