Whitney M Young Jr. Health Center, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Watervliet, NY. Organization (NPI-2).
NPI number1073960100
StatusActive
Last updated in NPPESJun 5, 2017
Details
- NPI
- 1073960100
- Entity type
- Organization (NPI-2)
- Legal business name
- Whitney M Young Jr. Health Center, INC
- Organization subpart
- No
- Enumeration date
- May 18, 2016
- Last updated
- Jun 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 122300000X | Dentist | – | – | |
| 207Q00000X | Family Medicine | – | – |
Other names
- Whitney Young Health (Other Name)
Practice location
1804 2nd AveWatervliet, NY 12189-2818
Phone 518-833-6900 · Fax 518-833-6919
Mailing address
920 Lark DrAlbany, NY 12207-1300
Phone 518-465-4771 · Fax 518-242-4784
Authorized official
Mary Connolly
Cfo
5184654771
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Federally Qualified Health Center (FQHC) providers in Watervliet, NY
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.