| Luminescence Medical Pllc | |
|
1202 Troy Schenectady Road Building #2 Latham NY 12110 | |
| (518) 389-6100 | |
| Not Available |
| Full Name | Luminescence Medical Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1202 Troy Schenectady Road, Latham, New York |
| Authorized Official Name and Position | Prajesh Ghimire (PARTNER/PHYSICIAN) |
| Authorized Official Contact | 5183302843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminescence Medical Pllc 1202 Troy Schenectady Raod Building #2 Latham NY 12110 Ph: (518) 389-6100 | Luminescence Medical Pllc 1202 Troy Schenectady Road Building #2 Latham NY 12110 Ph: (518) 389-6100 |
| NPI Number | 1760265540 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760265540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
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