William J Feeney Md Pllc | |
596 New Loudon Rd Latham NY 12110-4024 | |
(518) 782-7133 | |
Not Available |
Full Name | William J Feeney Md Pllc |
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Speciality | Internal Medicine |
Location | 596 New Loudon Rd, Latham, New York |
Authorized Official Name and Position | William J Feeney (OWNER) |
Authorized Official Contact | 5187827133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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William J Feeney Md Pllc Po Box 11719 Albany NY 12211-0719 Ph: (518) 389-1804 | William J Feeney Md Pllc 596 New Loudon Rd Latham NY 12110-4024 Ph: (518) 782-7133 |
NPI Number | 1679565659 |
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Provider Enumeration Date | 08/17/2005 |
Last Update Date | 09/19/2023 |
Medicare PECOS PAC ID | 2163401134 |
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Medicare Enrollment ID | O20040714001435 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679565659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | William J Feeney |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336146364 PECOS PAC ID: 8224017298 Enrollment ID: I20040714001502 |
Provider Name | Kathleen M Marshall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619977949 PECOS PAC ID: 4981893443 Enrollment ID: I20110113001166 |
Provider Name | Korey Marshall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902362627 PECOS PAC ID: 1557602406 Enrollment ID: I20190403001069 |
Provider Name | Gina Ptak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992340749 PECOS PAC ID: 6103247267 Enrollment ID: I20200528002536 |
Provider Name | Mary Yager |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649954348 PECOS PAC ID: 0042667602 Enrollment ID: I20231103002414 |
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