| |
1440 Western Avenue Capital District Internal Medicine Albany NY 12203 | |
(518) 482-0214 | |
Not Available |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 1440 Western Avenue, Albany, New York |
Authorized Official Name and Position | Courtney Knowles (CREDENTIALING MANAGER) |
Authorized Official Contact | 5185255634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 14890 Albany NY 12212-4890 Ph: () - | 1440 Western Avenue Capital District Internal Medicine Albany NY 12203 Ph: (518) 482-0214 |
NPI Number | 1912551425 |
---|---|
Provider Enumeration Date | 08/01/2019 |
Last Update Date | 10/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912551425 | NPI | - | NPPES |
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 |