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314 South Manning Blvd Albany NY 12208-1708 | |
(518) 437-5900 | |
(518) 437-5756 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 314 South Manning Blvd, Albany, New York |
Authorized Official Name and Position | Maria Nicole Kansas-devine (CEO) |
Authorized Official Contact | 5184375535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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314 South Manning Blvd Albany NY 12208-1708 Ph: (518) 437-5900 | 314 South Manning Blvd Albany NY 12208-1708 Ph: (518) 437-5900 |
NPI Number | 1770096984 |
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Provider Enumeration Date | 11/09/2017 |
Last Update Date | 10/17/2018 |
Identifier | Type | State | Issuer |
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1770096984 | 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 |