| Troy Infectious Disease And Primary Care Llc | |
|
2317 15th St Troy NY 12180-2307 | |
| (518) 266-9960 | |
| (518) 266-9974 |
| Full Name | Troy Infectious Disease And Primary Care Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2317 15th St, Troy, New York |
| Authorized Official Name and Position | Tanveer A Sultan (OWNER) |
| Authorized Official Contact | 5184962800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Infectious Disease And Primary Care Llc 2317 15th St Troy NY 12180-2307 Ph: (518) 266-9960 | Troy Infectious Disease And Primary Care Llc 2317 15th St Troy NY 12180-2307 Ph: (518) 266-9960 |
| NPI Number | 1952609125 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952609125 | NPI | - | NPPES |
| 01450095 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 163626 (New York) | Primary |
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