Upstate Center For Martial Arts Llc | |
1524 Central Ave Ste 210 Albany NY 12205-5065 | |
(518) 728-1672 | |
Not Available |
Full Name | Upstate Center For Martial Arts Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1524 Central Ave Ste 210, Albany, New York |
Authorized Official Name and Position | George Brown (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5187281672 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Upstate Center For Martial Arts Llc 135 Green St Albany NY 12202-2010 Ph: (518) 728-1672 | Upstate Center For Martial Arts Llc 1524 Central Ave Ste 210 Albany NY 12205-5065 Ph: (518) 728-1672 |
NPI Number | 1699557454 |
---|---|
Provider Enumeration Date | 10/17/2023 |
Last Update Date | 10/17/2023 |
Certification Date | 10/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699557454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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