| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 01/15/2013 |
| Medicare PECOS PAC ID | 0547168338 |
|---|---|
| Medicare Enrollment ID | O20031231000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821180290 PECOS PAC ID: 3870492663 Enrollment ID: I20040123000694 |
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