Organization
WHITNEY M. YOUNG, JR. HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CONNOLLY (CFO)
(518) 591-4461
Entity
Organization
Contact information
Practice address
900 LARK DR, ALBANY, NY 12207-1300
(518) 465-6330
(518) 242-4773
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
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
10/23/2017
Last updated
10/23/2017
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