| Whitney M. Young, Jr. Health Center, Inc. | |
|
900 Lark Dr Albany NY 12207-1300 | |
| (518) 465-6330 | |
| (518) 242-4773 |
| Full Name | Whitney M. Young, Jr. Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 900 Lark Dr, Albany, New York |
| Authorized Official Name and Position | Mary Connolly (CFO) |
| Authorized Official Contact | 5185914461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney M. Young, Jr. Health Center, Inc. 920 Lark Dr Albany NY 12207-1300 Ph: (518) 465-4771 | Whitney M. Young, Jr. Health Center, Inc. 900 Lark Dr Albany NY 12207-1300 Ph: (518) 465-6330 |
| NPI Number | 1144731738 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144731738 | NPI | - | NPPES |
| 00473565 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0101205R (New York) | Primary |
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