Organization
UPSTATE OB/GYN ASSOCIATES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER NAMKOONG M.D. (OWNER)
(518) 489-4446
Entity
Organization
Contact information
Practice address
1365 WASHINGTON AVE, SUITE 201, ALBANY, NY 12206-1098
(518) 489-4446
(518) 489-6018
Mailing address
1365 WASHINGTON AVE, SUITE 201, ALBANY, NY 12206-1098
(518) 489-4446
(518) 489-6018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB1797
RAILROAD MEDICARE
NY
Enumeration date
08/18/2006
Last updated
02/16/2015
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