Pine Hills Family Medicine, Pllc | |
527 Western Ave Albany NY 12203-1721 | |
(518) 482-1570 | |
Not Available |
Full Name | Pine Hills Family Medicine, Pllc |
---|---|
Speciality | Family Medicine |
Location | 527 Western Ave, Albany, New York |
Authorized Official Name and Position | Victor Lee Tulchinsky (OWNER) |
Authorized Official Contact | 5184821570 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pine Hills Family Medicine, Pllc 255 Lark St Albany NY 12210-1108 Ph: (518) 482-1570 | Pine Hills Family Medicine, Pllc 527 Western Ave Albany NY 12203-1721 Ph: (518) 482-1570 |
NPI Number | 1437339793 |
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Provider Enumeration Date | 11/05/2007 |
Last Update Date | 05/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437339793 | NPI | - | NPPES |
PENDING | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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