| Primarily For Women Medical Practice Pllc | |
|
1375 Washington Ave Suite 203 Albany NY 12206-1056 | |
| (518) 435-1123 | |
| (518) 435-1506 |
| Full Name | Primarily For Women Medical Practice Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1375 Washington Ave, Albany, New York |
| Authorized Official Name and Position | Elizabeth C Gath (OWNER) |
| Authorized Official Contact | 5184351123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primarily For Women Medical Practice Pllc 1375 Washington Ave Suite 203 Albany NY 12206-1056 Ph: (518) 435-1123 | Primarily For Women Medical Practice Pllc 1375 Washington Ave Suite 203 Albany NY 12206-1056 Ph: (518) 435-1123 |
| NPI Number | 1427143460 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427143460 | NPI | - | NPPES |
| 000401503014 | Other | NY | BSNENY |
| 11948 | Other | NY | MVP |
| 10006299 | Other | NY | CDPHP |
| 2697144 | Other | NY | GHI |
| 01508465 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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