Organization
WHITNEY M. YOUNG JR. HEALTH CENTER, INC.
Active
Parent organization
WHITNEY M. YOUNG JR. HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITNEY M. YOUNG JR. HEALTH CENTER, INC.
Authorized official
MS. DONNA CONNORS (CREDENTIALING SPECIALIST)
(518) 465-4771
Entity
Organization
Contact information
Practice address
10 DEWITT STREET, WHITNEY M. YOUNG JR. HEALTH CENTER, INC., ALBANY, NY 12207-1300
(518) 465-4771
(518) 320-3022
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
(518) 320-3022
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331807
—
NY
Enumeration date
03/02/2016
Last updated
07/21/2022
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