| |
35 Lower Hudson Avenue Village Plaza Green Island NY 12183-1014 | |
(518) 237-7033 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 35 Lower Hudson Avenue Village Plaza, Green Island, New York |
Authorized Official Name and Position | Courtney Knowles (CREDENTIALING MANAGER) |
Authorized Official Contact | 5185255634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 14890 Albany NY 12212-4890 Ph: () - | 35 Lower Hudson Avenue Village Plaza Green Island NY 12183-1014 Ph: (518) 237-7033 |
NPI Number | 1396092268 |
---|---|
Provider Enumeration Date | 08/10/2012 |
Last Update Date | 02/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396092268 | NPI | - | NPPES |
Abed Al-mawla Jandali M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13 Arch St, Green Island, NY 12183 Phone: 518-274-4654 Fax: 518-274-4654 |