| |
418 Broadway Unit 5272 Albany NY 12207-2922 | |
(917) 765-6434 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 418 Broadway Unit 5272, Albany, New York |
Authorized Official Name and Position | Robert Rodriguez (CEO) |
Authorized Official Contact | 2015054735 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
6515 S Kanner Hwy Stuart FL 34997-6330 Ph: (772) 463-1123 | 418 Broadway Unit 5272 Albany NY 12207-2922 Ph: (917) 765-6434 |
NPI Number | 1497589089 |
---|---|
Provider Enumeration Date | 08/27/2024 |
Last Update Date | 09/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497589089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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 |