Organization
GROUP HEALTH INCORPORATED
Active
Parent organization
GROUP HEALTH INCORPORATED
Other names
GHI Family Dental Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROUP HEALTH INCORPORATED
Authorized official
MR. JONATHAN BENN E. BENN (BUSINESS MANAGER)
(518) 869-1717
Entity
Organization
Contact information
Practice address
1873 WESTERN AVE, SUITE 200, ALBANY, NY 12203-5028
(518) 869-1044
(518) 869-1965
Mailing address
1873 WESTERN AVE, SUITE 200, ALBANY, NY 12203-5028
(518) 869-1044
(518) 869-1965
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0101210R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473592
—
NY
Enumeration date
09/20/2006
Last updated
06/16/2008
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