Whitney M. Young, Jr. Health Center, Inc. | |
164 Montgomery St Albany NY 12207-2420 | |
(518) 465-4771 | |
Not Available |
Full Name | Whitney M. Young, Jr. Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 164 Montgomery St, Albany, New York |
Authorized Official Name and Position | David Harold Shippee (PRESIDENT/CEO) |
Authorized Official Contact | 5185914459 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Whitney M. Young, Jr. Health Center, Inc. 920 Lark Dr Albany NY 12207-1300 Ph: (518) 465-4771 | Whitney M. Young, Jr. Health Center, Inc. 164 Montgomery St Albany NY 12207-2420 Ph: (518) 465-4771 |
NPI Number | 1366166191 |
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Provider Enumeration Date | 09/26/2022 |
Last Update Date | 11/11/2022 |
Medicare PECOS PAC ID | 6507830031 |
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Medicare Enrollment ID | O20230313002528 |
Identifier | Type | State | Issuer |
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1366166191 | NPI | - | NPPES |
00473565 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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 |