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2546 Balltown Road Suite 200 Schenectady NY 12309-1079 | |
(518) 374-1444 | |
(518) 374-0491 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2546 Balltown Road, Schenectady, New York |
Authorized Official Name and Position | Debby Coons (CREDENTIALING MANAGER) |
Authorized Official Contact | 5182130478 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 Ph: (518) 782-3700 | 2546 Balltown Road Suite 200 Schenectady NY 12309-1079 Ph: (518) 374-1444 |
NPI Number | 1104109065 |
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Provider Enumeration Date | 09/27/2011 |
Last Update Date | 03/14/2019 |
Identifier | Type | State | Issuer |
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1104109065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 154946 (New York) | Primary |
Ellis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Nott St Ste 304, Schenectady, NY 12308 Phone: 518-243-4134 | |
Purcell Integrative Osteopathic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1462 Erie Blvd Ste 3, Schenectady, NY 12305 Phone: 518-901-2800 Fax: 518-240-4347 |