Full Name | |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 64 2nd Avenue, Albany, New York |
Authorized Official Name and Position | Courtney Knowles (CREDENTIALING & ENROLLMENT MANAGER) |
Authorized Official Contact | 5185255634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 14890 Albany NY 12212-4890 Ph: () - | 64 2nd Avenue Albany NY 12202-1240 Ph: (518) 449-5170 |
NPI Number | 1669698601 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 07/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669698601 | NPI | - | NPPES |
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 |