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1365 Washington Ave Suite 200 Albany NY 12206-1068 | |
(518) 264-1761 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 1365 Washington Ave, Albany, New York |
Authorized Official Name and Position | Vincent Verdile (DEAN) |
Authorized Official Contact | 5182626008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1275 Broadway Menands NY 12204-2638 Ph: () - | 1365 Washington Ave Suite 200 Albany NY 12206-1068 Ph: (518) 264-1761 |
NPI Number | 1689059123 |
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Provider Enumeration Date | 07/27/2015 |
Last Update Date | 12/14/2015 |
Identifier | Type | State | Issuer |
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1689059123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (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 |