Lc Coelho Medical Pllc | |
325 Northern Blvd Albany NY 12204-1001 | |
(518) 698-7544 | |
Not Available |
Full Name | Lc Coelho Medical Pllc |
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Speciality | Internal Medicine |
Location | 325 Northern Blvd, Albany, New York |
Authorized Official Name and Position | Luiz Coelho (OWNER) |
Authorized Official Contact | 5186987544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lc Coelho Medical Pllc 72 High St Green Island NY 12183-1422 Ph: (518) 698-7544 | Lc Coelho Medical Pllc 325 Northern Blvd Albany NY 12204-1001 Ph: (518) 698-7544 |
NPI Number | 1639512726 |
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Provider Enumeration Date | 04/09/2013 |
Last Update Date | 04/09/2013 |
Medicare PECOS PAC ID | 0941439798 |
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Medicare Enrollment ID | O20140128000231 |
Identifier | Type | State | Issuer |
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1639512726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 246135 (New York) | Primary |
Provider Name | Luiz C Coelho |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164564514 PECOS PAC ID: 6800985466 Enrollment ID: I20071204000632 |
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 |