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Organization

WHITNEY M. YOUNG, JR. HEALTH CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID SHIPPEE (PRESIDENT & CEO)
(518) 591-4459
Entity
Organization

Contact information

Practice address
920 LARK DR, ALBANY, NY 12207-1300
(518) 533-3136
(518) 432-8712
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 533-3136
(518) 432-8712

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
0101205R
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00473565
NY
Enumeration date
03/07/2006
Last updated
11/07/2016
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