Organization
WHITNEY M. YOUNG, JR. HEALTH CENTER, INC.
Active
Parent organization
WHITNEY M. YOUNG JR. HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITNEY M. YOUNG JR. HEALTH CENTER, INC.
Authorized official
DAVID H SHIPPEE (CEO)
(518) 465-4771
Entity
Organization
Contact information
Practice address
849 2ND AVE, TROY, NY 12182-2085
(518) 833-6900
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473565
—
NY
Enumeration date
09/23/2008
Last updated
06/20/2019
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