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2022 Western Ave Albany NY 12203-5093 | |
(518) 464-9000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2022 Western Ave, Albany, New York |
Authorized Official Name and Position | Durdana Mehtabdin (OWNER) |
Authorized Official Contact | 5184649000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2022 Western Ave Albany NY 12203-5093 Ph: (518) 464-9000 | 2022 Western Ave Albany NY 12203-5093 Ph: (518) 464-9000 |
NPI Number | 1639392871 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 10/21/2008 |
Identifier | Type | State | Issuer |
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1639392871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |