Centralmed Urgent Care And Primary Care Llp | |
1662 Central Ave Colonie NY 12205-4059 | |
(518) 240-1456 | |
(607) 800-4134 |
Full Name | Centralmed Urgent Care And Primary Care Llp |
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Speciality | Clinic/Center |
Location | 1662 Central Ave, Colonie, New York |
Authorized Official Name and Position | Nosa D Aigbe Lebarty (OWNER) |
Authorized Official Contact | 5189510740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centralmed Urgent Care And Primary Care Llp 1662 Central Ave Colonie NY 12205-4059 Ph: (518) 240-1456 | Centralmed Urgent Care And Primary Care Llp 1662 Central Ave Colonie NY 12205-4059 Ph: (518) 240-1456 |
NPI Number | 1932721032 |
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Provider Enumeration Date | 05/12/2020 |
Last Update Date | 05/12/2020 |
Medicare PECOS PAC ID | 1254756216 |
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Medicare Enrollment ID | O20200807000998 |
Identifier | Type | State | Issuer |
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1932721032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Jina Nocera |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538105887 PECOS PAC ID: 6406851666 Enrollment ID: I20060921000121 |
Provider Name | Nosa D Aigbe Lebarty |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629385315 PECOS PAC ID: 3577719335 Enrollment ID: I20120809000669 |
Provider Name | Kathleen Millett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508517004 PECOS PAC ID: 9436544848 Enrollment ID: I20220322002516 |