Organization · NPI-2

Dearie Preventative Medicine Professional Corporation

Preventive Medicine, Public Health & General Preventive Medicine · Albany, NY

NPI number1154138352
StatusActive
Last updated in NPPESApr 21, 2026

Details

NPI
1154138352
Entity type
Organization (NPI-2)
Legal business name
Dearie Preventative Medicine Professional Corporation
Organization subpart
No
Enumeration date
Dec 12, 2024
Certification date
Apr 21, 2026
Last updated
Apr 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine––Yes
261Q00000X Clinic/Center––

Practice location

418 Broadway Ste N
Albany, NY 12207-2922

Phone 206-486-2053

Mailing address

Po Box 7241
Tacoma, WA 98417-0241

Phone 253-242-2705

Other practice locations

972 Broad St.
Newark, NJ 07102-3422

Phone 253-242-2705

Authorized official

Kristin Kleinhans
Director
2532422705

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