| |
1301 River St Suite 108 Valatie NY 12184-9694 | |
(518) 758-8300 | |
(518) 758-9679 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1301 River St, Valatie, New York |
Authorized Official Name and Position | Vincent J Dingman (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5188288249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2000 Hudson NY 12534-2000 Ph: (518) 828-8363 | 1301 River St Suite 108 Valatie NY 12184-9694 Ph: (518) 758-8300 |
NPI Number | 1922354778 |
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Provider Enumeration Date | 07/31/2012 |
Last Update Date | 07/31/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922354778 | NPI | - | NPPES |
W79533 | Other | NY | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 1001000H (New York) | Primary |
Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Us Route 9, Valatie, NY 12184 Phone: 518-392-2277 | |
Albany Medical College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 River St Ste 106, Valatie, NY 12184 Phone: 845-339-6755 | |