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1444 Western Ave Suite B-1 Albany NY 12203-3440 | |
(518) 458-2611 | |
(518) 489-1914 |
Full Name | |
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Speciality | Family Medicine |
Location | 1444 Western Ave, Albany, New York |
Authorized Official Name and Position | Michael Whalen (DIRECTOR OF ADMINISTRATION) |
Authorized Official Contact | 5184352704 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4 Atrium Dr Suite 100 Albany NY 12205-1441 Ph: (518) 435-2704 | 1444 Western Ave Suite B-1 Albany NY 12203-3440 Ph: (518) 458-2611 |
NPI Number | 1871713636 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 03/28/2012 |
Identifier | Type | State | Issuer |
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1871713636 | NPI | - | NPPES |
02616571 | Medicaid | NY |
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 |