Koinonia Healthcare in Albany - Primary Care
Koinonia Healthcare - NPI 1225122054
Koinonia Healthcare is a Primary Care in Albany, New York. Koinonia Healthcare practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Koinonia Healthcare is 1225122054. The last update date is 2011-11-03.
Koinonia Healthcare's current location address is 553 Clinton Avenue, Albany, New York. You can contact this provider via phone number 5186890282. The mailing address for Koinonia Healthcare is 553 Clinton Avenue, Albany, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Koinonia Healthcare |
|---|---|
| Address | 553 Clinton Avenue, Albany, New York |
| Phone Number | 5186890282 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Paeglow John Robert |
| Credentials | M.D. |
| Telephone Number | 5186890282 |
NPI Number Detail
| NPI Number | 1225122054 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 553 Clinton Avenue |
|---|---|
| City | Albany |
| State | New York (NY) |
| Post Code | 12206 |
| Phone Number | 5186890282 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 60/201542 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1753680 | NY | -- | |
| G9202 | NY | CDPHP GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Koinonia Healthcare by the Centers for Medicare & Medicaid Services?
The Koinonia Healthcare has been assigned the NPI (National Provider Identifier) 1225122054. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Koinonia Healthcare is geographically located?
The Koinonia Healthcare is physically situated at the following location: 553 Clinton Avenue, Albany, NY, 12206.
What is the Koinonia Healthcare's specialty and taxonomy code?
The Koinonia Healthcare's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date did the Koinonia Healthcare receive the assignment of its 1225122054 from the Centers for Medicare & Medicaid Services?
The Koinonia Healthcare was issued its 1225122054 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding Koinonia Healthcare most recently updated?
The details pertaining to the Koinonia Healthcare, including its address, specialty, and other relevant information, were last refreshed on 2011-11-03.
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