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600 Northern Blvd Albany NY 12204-1004 | |
(518) 525-5634 | |
Not Available |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 600 Northern Blvd, Albany, New York |
Authorized Official Name and Position | Lori Santos (CFO) |
Authorized Official Contact | 5185255537 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 14890 St. Peter's Health Partners Payer Credentialing Albany NY 12212-4890 Ph: () - | 600 Northern Blvd Albany NY 12204-1004 Ph: (518) 525-5634 |
NPI Number | 1184161739 |
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Provider Enumeration Date | 01/20/2017 |
Last Update Date | 04/03/2020 |
Identifier | Type | State | Issuer |
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1184161739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | 0101003H (New York) | Primary |
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 |