Organization
WHITNEY M YOUNG JR. HEALTH CENTER, INC
Active
Organization
WHITNEY M YOUNG JR. HEALTH CENTER, INC
Active
Other names
Whitney Young Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CONNOLLY (CFO)
(518) 465-4771
Entity
Organization
Contact information
Practice address
1804 2ND AVE, WATERVLIET, NY 12189-2818
(518) 833-6900
(518) 833-6919
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
(518) 242-4784
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
06/05/2017
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