Upstate Internal Medicine And Pediatrics P C | |
1365 Washington Ave Suite 301 Albany NY 12206-1098 | |
(518) 458-7212 | |
(518) 689-0258 |
Full Name | Upstate Internal Medicine And Pediatrics P C |
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Speciality | Internal Medicine |
Location | 1365 Washington Ave, Albany, New York |
Authorized Official Name and Position | Barbara Elaine Hauser (PRESIDENT) |
Authorized Official Contact | 5184587212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upstate Internal Medicine And Pediatrics P C 1365 Washington Ave Suite 301 Albany NY 12206-1098 Ph: (518) 458-7212 | Upstate Internal Medicine And Pediatrics P C 1365 Washington Ave Suite 301 Albany NY 12206-1098 Ph: (518) 458-7212 |
NPI Number | 1548357866 |
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Provider Enumeration Date | 10/06/2006 |
Last Update Date | 01/15/2013 |
Medicare PECOS PAC ID | 0547168338 |
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Medicare Enrollment ID | O20031231000046 |
Identifier | Type | State | Issuer |
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1548357866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 197219 (New York) | Primary |
208000000X | Pediatrics | 197219 (New York) | Secondary |
Provider Name | Barbara E Hauser |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821180290 PECOS PAC ID: 3870492663 Enrollment ID: I20040123000694 |
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 |