Windham Medical Care | |
345 State Route 296 Hensonville NY 12439-5109 | |
(518) 734-3260 | |
(518) 734-5289 |
Full Name | Windham Medical Care |
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Speciality | Clinic/center - Multi-specialty |
Location | 345 State Route 296, Hensonville, New York |
Authorized Official Name and Position | Vincent J Dingman (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5188288249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Windham Medical Care Po Box 2000 Hudson NY 12534-2000 Ph: (518) 828-8363 | Windham Medical Care 345 State Route 296 Hensonville NY 12439-5109 Ph: (518) 734-3260 |
NPI Number | 1619222361 |
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Provider Enumeration Date | 07/18/2012 |
Last Update Date | 07/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619222361 | NPI | - | NPPES |
W79533 | Other | NY | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 1001000H (New York) | Primary |