| |
1375 Washington Ave Suite 202 Albany NY 12206 | |
(518) 482-0007 | |
(518) 482-0008 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1375 Washington Ave, Albany, New York |
Authorized Official Name and Position | Judy Doling (PRACTICE MANAGER ADMINISTRATOR) |
Authorized Official Contact | 5184825176 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1375 Washington Ave Suite 202 Albany NY 12206 Ph: (518) 482-0007 | 1375 Washington Ave Suite 202 Albany NY 12206 Ph: (518) 482-0007 |
NPI Number | 1225043037 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1225043037 | 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 |