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2125 River Rd Ste 103 Schenectady NY 12309-1108 | |
(518) 382-7500 | |
(518) 382-7572 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2125 River Rd Ste 103, Schenectady, New York |
Authorized Official Name and Position | Diane M Stamas (SENIOR CREDENTIALING COORDINATOR) |
Authorized Official Contact | 5187823742 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6 Wellness Way Ste 201 Latham NY 12110-2156 Ph: (518) 782-3700 | 2125 River Rd Ste 103 Schenectady NY 12309-1108 Ph: (518) 382-7500 |
NPI Number | 1043594476 |
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Provider Enumeration Date | 10/04/2011 |
Last Update Date | 10/10/2024 |
Identifier | Type | State | Issuer |
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1043594476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 160342 (New York) | Primary |
Ellis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Nott St Ste 304, Schenectady, NY 12308 Phone: 518-243-4134 | |
Purcell Integrative Osteopathic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1462 Erie Blvd Ste 3, Schenectady, NY 12305 Phone: 518-901-2800 Fax: 518-240-4347 | |