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Organization

UPSTATE CENTER FOR MARTIAL ARTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE BROWN (CHIEF EXECUTIVE OFFICER)
(518) 728-1672
Entity
Organization

Contact information

Practice address
1524 CENTRAL AVE STE 210, ALBANY, NY 12205-5065
(518) 728-1672
Mailing address
135 GREEN ST, ALBANY, NY 12202-2010
(518) 728-1672

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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