| Mobile Van Unit | |
|
920 Lark Dr Whitney M. Young Jr. Health Center - Mobile Van Albany NY 12207-1300 | |
| (518) 465-4771 | |
| (518) 320-3022 |
| Full Name | Mobile Van Unit |
|---|---|
| Speciality | Clinic/Center |
| Location | 920 Lark Dr, Albany, New York |
| Authorized Official Name and Position | David H Shippee (CEO/PRESIDENT) |
| Authorized Official Contact | 5184654771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Van Unit 320 Seventh Avenue Troy NY 12182 Ph: (518) 465-4771 | Mobile Van Unit 920 Lark Dr Whitney M. Young Jr. Health Center - Mobile Van Albany NY 12207-1300 Ph: (518) 465-4771 |
| NPI Number | 1235537655 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Medicare PECOS PAC ID | 6507830031 |
|---|---|
| Medicare Enrollment ID | O20160311000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235537655 | NPI | - | NPPES |
| 00473565 | Medicaid | NY |
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