| |
418 Broadway # 6003 Albany NY 12207-2922 | |
(917) 794-3968 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 418 Broadway # 6003, 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 |
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2720 10th Ave N Ste 100 Palm Springs FL 33461-3100 Ph: (561) 540-4446 | 418 Broadway # 6003 Albany NY 12207-2922 Ph: (917) 794-3968 |
NPI Number | 1306670997 |
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Provider Enumeration Date | 08/27/2024 |
Last Update Date | 09/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306670997 | 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 |