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1044 State St Schenectady NY 12307-1508 | |
(518) 370-1441 | |
(518) 395-9431 |
Full Name | |
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Speciality | Family Medicine |
Location | 1044 State St, Schenectady, New York |
Authorized Official Name and Position | Joseph F Gambino (CEO) |
Authorized Official Contact | 5183701441 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1044 State St Schenectady NY 12307-1508 Ph: (518) 370-1441 | 1044 State St Schenectady NY 12307-1508 Ph: (518) 370-1441 |
NPI Number | 1396711982 |
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Provider Enumeration Date | 02/24/2006 |
Last Update Date | 07/28/2021 |
Medicare PECOS PAC ID | 1850280827 |
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Medicare Enrollment ID | O20040315001297 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396711982 | NPI | - | NPPES |
02995513 | Medicaid | NY | |
53099A | Other | NY | MEDICARE PIN |
331833 | Other | NY | MEDICARE OSCAR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (New York) | Primary |
Ellis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Nott St Ste 304, Schenectady, NY 12308 Phone: 518-243-4134 | |
Purcell Integrative Osteopathic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1462 Erie Blvd Ste 3, Schenectady, NY 12305 Phone: 518-901-2800 Fax: 518-240-4347 | |