Whitney M. Young, Jr. Health Center, Inc. | |
920 Lark Dr Albany NY 12207-1300 | |
(518) 533-3136 | |
(518) 432-8712 |
Full Name | Whitney M. Young, Jr. Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 920 Lark Dr, Albany, New York |
Authorized Official Name and Position | David 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) 533-3136 | Whitney M. Young, Jr. Health Center, Inc. 920 Lark Dr Albany NY 12207-1300 Ph: (518) 533-3136 |
NPI Number | 1417924762 |
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Provider Enumeration Date | 03/07/2006 |
Last Update Date | 11/07/2016 |
Medicare PECOS PAC ID | 6507830031 |
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Medicare Enrollment ID | O20040821000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417924762 | NPI | - | NPPES |
00473565 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | 0101205R (New York) | Primary |
Provider Name | Bharat B Langer |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073579280 PECOS PAC ID: 9234122938 Enrollment ID: I20040407001029 |
Provider Name | Kenneth J Kroopnick |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053303974 PECOS PAC ID: 7810976370 Enrollment ID: I20040717000244 |
Provider Name | Rhonda D Stein |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1689764102 PECOS PAC ID: 1850327560 Enrollment ID: I20050714000129 |
Provider Name | Sarah Jean Caterina |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558398495 PECOS PAC ID: 2860402443 Enrollment ID: I20060428000469 |
Provider Name | Marion C Mcpadden |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1801997556 PECOS PAC ID: 7012016074 Enrollment ID: I20070616000035 |
Provider Name | Julita M Jastrzab |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396942934 PECOS PAC ID: 3476648791 Enrollment ID: I20071002000472 |
Provider Name | Elizabeth H Pradhan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285818617 PECOS PAC ID: 4587747985 Enrollment ID: I20080218000079 |
Provider Name | Padmaja Madala |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174710503 PECOS PAC ID: 8022106657 Enrollment ID: I20080523000541 |
Provider Name | Elena Rosenbaum |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689797607 PECOS PAC ID: 1153421912 Enrollment ID: I20080805000090 |
Provider Name | David S Skory |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1891785796 PECOS PAC ID: 1254493505 Enrollment ID: I20081219000250 |
Provider Name | Virinchi R Bala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730147521 PECOS PAC ID: 3971634494 Enrollment ID: I20100628000714 |
Provider Name | Kenneth Joseph Baker |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760489157 PECOS PAC ID: 1254462278 Enrollment ID: I20100708000090 |
Provider Name | Erin Lin Elkins |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285822452 PECOS PAC ID: 9739458084 Enrollment ID: I20170630000646 |
Provider Name | Thomas L Candara |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1417307927 PECOS PAC ID: 7214261312 Enrollment ID: I20190624002236 |
Provider Name | Alexander Simao |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336599216 PECOS PAC ID: 5092149682 Enrollment ID: I20200108000574 |
Provider Name | Jennifer Lynn Mcbain |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538792833 PECOS PAC ID: 5395166060 Enrollment ID: I20200604001532 |
Provider Name | Lauren Cagino |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699204297 PECOS PAC ID: 3870990682 Enrollment ID: I20210921003594 |
Provider Name | Kelly Schoch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063909364 PECOS PAC ID: 2668711821 Enrollment ID: I20211207000233 |
Provider Name | Samantha Shojaie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669932539 PECOS PAC ID: 0345617502 Enrollment ID: I20221101002926 |
Provider Name | Daniela Marion Puorto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265144026 PECOS PAC ID: 1254704182 Enrollment ID: I20230223002809 |
Provider Name | Rong Zhang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679278113 PECOS PAC ID: 3577929165 Enrollment ID: I20230524002573 |
Provider Name | Dayle Carhart-davis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568144475 PECOS PAC ID: 3375996531 Enrollment ID: I20240124003222 |
Provider Name | Nicole Oherien |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538818430 PECOS PAC ID: 8921451485 Enrollment ID: I20240131003041 |
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