| Whitney M. Young, Jr. Health Center, Inc. | |
|
920 Lark Dr Albany NY 12207-1300 | |
| (518) 465-4771 | |
| Not Available |
| Full Name | Whitney M. Young, Jr. Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 920 Lark Dr, Albany, New York |
| Authorized Official Name and Position | David Shippee (PRESIDENT AND CEO) |
| Authorized Official Contact | 5185914459 |
| 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. 920 Lark Dr Albany NY 12207-1300 Ph: (518) 465-4771 |
| NPI Number | 1154061554 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154061554 | NPI | - | NPPES |
| 00473565 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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