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Organization

TELEMEDICINE PHYSICAL CARE PROVIDER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRIYANKA WALI MD (MEDICAL DIRECTOR)
(408) 256-3180
Entity
Organization

Contact information

Practice address
418 BROADWAY STE Y, ALBANY, NY 12207-2922
(408) 256-3180
(408) 372-0839
Mailing address
418 BROADWAY STE Y, ALBANY, NY 12207-2922
(408) 256-3180
(408) 372-0839

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
374J00000X
Doula
Primary

Other

Enumeration date
05/26/2026
Last updated
06/04/2026
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