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713 Troy Schenectady Rd Ste 224 Latham NY 12110-2490 | |
| (518) 783-3110 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 713 Troy Schenectady Rd Ste 224, Latham, 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 |
|---|---|
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 Ph: (518) 783-3100 | 713 Troy Schenectady Rd Ste 224 Latham NY 12110-2490 Ph: (518) 783-3110 |
| NPI Number | 1508456708 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508456708 | NPI | - | NPPES |
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