Whitney M. Young, Jr. Health Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Troy, NY. Organization (NPI-2).
NPI number1083864458
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1083864458
- Entity type
- Organization (NPI-2)
- Legal business name
- Whitney M. Young, Jr. Health Center, INC.
- Organization subpart
- Yes
- Enumeration date
- Sep 23, 2008
- Last updated
- Jun 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
849 2nd AveTroy, NY 12182-2085
Phone 518-833-6900
Mailing address
920 Lark DrAlbany, NY 12207-1300
Authorized official
David H Shippee
Ceo
5184654771
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