Koinonia Healthcare

NPI 1225122054 - Clinic/Center - 261QP2300X

NPI Details
NPI 1225122054
Enumeration Date 10/03/2006
Last Updated 11/03/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT JOHN ROBERT
Position DIRECTOR
Phone (518) 689-0282
Fax
Practice Location
553 CLINTON AVENUE
ALBANY NY, 12206, US
Phone (518) 689-0282
Fax
Business Location
553 CLINTON AVENUE
ALBANY NY, 12206, US
Phone (518) 689-0282
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State New York
License Number 60/201542
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According to our database, Koinonia Healthcare NPI is 1225122054, taxonomy code is 261QP2300X and license number is 60/201542, license state is located at New York. Koinonia Healthcare physically located at 553 Clinton Avenue, Albany NY, 12206. NPI Number 1033115704 has the healthcare provider type.

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1225122054 NPI number is provided on an as is basis without warranty of any kind. 1225122054 is maintained by the National Plan & Provider Enumeration System. The contents of Koinonia Healthcare are for informational purposes only.