| Family Practice Great Oaks | |
|
100 Great Oaks Blvd Suite 105 Albany NY 12203 | |
| (518) 869-8007 | |
| (518) 869-8742 |
| Full Name | Family Practice Great Oaks |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Great Oaks Blvd, Albany, 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 |
|---|---|
| Family Practice Great Oaks 711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 Ph: (518) 782-3700 | Family Practice Great Oaks 100 Great Oaks Blvd Suite 105 Albany NY 12203 Ph: (518) 869-8007 |
| NPI Number | 1942583554 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942583554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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