| |
4 Palisades Dr Suite 150 Albany NY 12205-1443 | |
(518) 458-1245 | |
(518) 438-1398 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 4 Palisades Dr, Albany, New York |
Authorized Official Name and Position | Paul Gordon (DIR FIN/ADMIN PHYS ENTERPRISE) |
Authorized Official Contact | 5185251585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
315 S Manning Blvd Albany NY 12208-1707 Ph: (518) 525-1585 | 4 Palisades Dr Suite 150 Albany NY 12205-1443 Ph: (518) 458-1245 |
NPI Number | 1922343524 |
---|---|
Provider Enumeration Date | 12/07/2012 |
Last Update Date | 01/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922343524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | 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 |