| Lansingburgh Family Practice, Pc | |
|
595 5th Ave Troy NY 12182-2501 | |
| (518) 235-8034 | |
| (518) 235-8036 |
| Full Name | Lansingburgh Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 595 5th Ave, Troy, New York |
| Authorized Official Name and Position | Adetona B Adetona (MD/OWNER) |
| Authorized Official Contact | 5182358034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansingburgh Family Practice, Pc 595 5th Ave Troy NY 12182-2501 Ph: (518) 235-8034 | Lansingburgh Family Practice, Pc 595 5th Ave Troy NY 12182-2501 Ph: (518) 235-8034 |
| NPI Number | 1710931837 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 01/30/2020 |
| Medicare PECOS PAC ID | 8224028691 |
|---|---|
| Medicare Enrollment ID | O20040517000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710931837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2056621 (New York) | Primary |
| Provider Name | Adetutu B Adetona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629038930 PECOS PAC ID: 2365432747 Enrollment ID: I20040518001147 |
| Provider Name | Leshaun Angmor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063874550 PECOS PAC ID: 8729379144 Enrollment ID: I20160615000888 |
| Provider Name | Rahmat Gul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699443911 PECOS PAC ID: 5395132195 Enrollment ID: I20220426001350 |
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Brunswick Family Practice,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 785 Hoosick Rd, Troy, NY 12180 Phone: 518-279-4065 Fax: 518-279-4069 | |
St. Peter's Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Hoosick Street, St. Peter's Internal Medicine, Troy, NY 12180 Phone: 518-268-5370 | |
Whitney M. Young, Jr. Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 849 2nd Ave, Troy, NY 12182 Phone: 518-833-6900 |