Organization
SCHENECTADY FAMILY HEALTH SERVICES, INC.
Active
Other names
Hometown Health Centers Dental at McClellan Street
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J COLE (CREDENTIALING MANAGER)
(518) 370-1441
Entity
Organization
Contact information
Practice address
600 MCCLELLAN ST, DENTAL SUITE, SCHENECTADY, NY 12304-1009
(518) 370-1441
(518) 395-9431
Mailing address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
01
—
331833
MEDICARE OSCAR
NY
01
—
53099A
MEDICARE PIN
NY
Enumeration date
07/28/2021
Last updated
08/18/2021
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