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1783 Route 9 Ste 202 Halfmoon NY 12065-2466 | |
(518) 213-6910 | |
(518) 213-6916 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1783 Route 9 Ste 202, Halfmoon, New York |
Authorized Official Name and Position | Diane M Stamas (SENIOR CREDENTIALING COORDINATOR) |
Authorized Official Contact | 5187823742 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6 Wellness Way Ste 201 Latham NY 12110-2156 Ph: (518) 782-3700 | 1783 Route 9 Ste 202 Halfmoon NY 12065-2466 Ph: (518) 213-6910 |
NPI Number | 1548610603 |
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Provider Enumeration Date | 06/20/2016 |
Last Update Date | 02/29/2024 |
Identifier | Type | State | Issuer |
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1548610603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Ellis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Sitterly Rd Ste 2200, Halfmoon, NY 12065 Phone: 518-243-3311 | |