Organization
NORTHEAST MOBILITY CENTER LTD
Active
Other names
Northeast Mobility Center, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY GORDON (OWNER)
(518) 339-2499
Entity
Organization
Contact information
Practice address
115 EVERETT RD, ALBANY, NY 12205-6417
(518) 438-3646
(518) 453-0919
Mailing address
115 EVERETT RD, ALBANY, NY 12205-6417
(518) 438-3646
(518) 453-0919
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5803982
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2006
Last updated
01/03/2023
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