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14 Vista Blvd Slingerlands NY 12159-2184 | |
(518) 459-5273 | |
(518) 489-5790 |
Full Name | |
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Speciality | Internal Medicine |
Location | 14 Vista Blvd, Slingerlands, New York |
Authorized Official Name and Position | Diane M Stamas (SENIOR CREDENTIALING COORDINATOR) |
Authorized Official Contact | 5187823742 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 Ph: (518) 782-3700 | 14 Vista Blvd Slingerlands NY 12159-2184 Ph: (518) 459-5273 |
NPI Number | 1083986764 |
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Provider Enumeration Date | 01/27/2012 |
Last Update Date | 01/29/2013 |
Identifier | Type | State | Issuer |
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1083986764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 234093 (New York) | Primary |
Joanne H. Van Woert, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 New Scotland Rd, Slingerlands, NY 12159 Phone: 518-439-1564 | |