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582 New Loudon Road Latham NY 12110-5707 | |
(518) 783-0072 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 582 New Loudon Road, Latham, 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 |
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Po Box 14890 Albany NY 12212-4890 Ph: () - | 582 New Loudon Road Latham NY 12110-5707 Ph: (518) 783-0072 |
NPI Number | 1629512876 |
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Provider Enumeration Date | 12/07/2016 |
Last Update Date | 12/16/2019 |
Identifier | Type | State | Issuer |
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1629512876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Community Care Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Wellness Way Ste 106b, Latham, NY 12110 Phone: 518-980-9040 Fax: 518-980-9041 | |
Patricia V. Saunders Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 506 Watervliet Shaker Rd, Latham, NY 12110 Phone: 518-785-3154 | |
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