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Organization

CFDSHC, INC

Active
Other names
Center Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA NICOLE KANSAS-DEVINE MD (CEO)
(518) 437-5535
Entity
Organization

Contact information

Practice address
314 SOUTH MANNING BLVD, ALBANY, NY 12208-1708
(518) 437-5900
(518) 437-5756
Mailing address
314 SOUTH MANNING BLVD, ALBANY, NY 12208-1708
(518) 437-5900
(518) 437-5756

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
0101203R
NY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM1300X
Multi-Specialty Clinic/Center
0101203R
NY

Other

Enumeration date
11/09/2017
Last updated
10/17/2018
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