Organization
WHITNEY M. YOUNG, JR. HEALTH CENTER, INC.
Active
Parent organization
WHITNEY M. YOUNG, JR. HEALTH CENTER, INC.
Other names
Sheridan Preparatory Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITNEY M. YOUNG, JR. HEALTH CENTER, INC.
Authorized official
DAVID HAROLD SHIPPEE (PRESIDENT & CEO)
(518) 591-4459
Entity
Organization
Contact information
Practice address
400 SHERIDAN AVE, ALBANY, NY 12206-2920
(518) 465-4771
Mailing address
920 LARK DRIVE, WHITNEY M. YOUNG JR. INC., ALBANY, NY 12207
(518) 465-4771
(518) 242-4770
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0101205R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473565
—
NY
Enumeration date
02/20/2012
Last updated
12/18/2018
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