Organization
PARK PLACE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADI KOOHSARI M.D. (OWNER)
(518) 374-1610
Entity
Organization
Contact information
Practice address
701 UNION ST, SCHENECTADY, NY 12305-1504
(518) 374-1610
(518) 374-3512
Mailing address
701 UNION ST, SCHENECTADY, NY 12305-1504
(518) 374-1610
(518) 374-3512
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
208608
NY
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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