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Koinonia Healthcare
Primary Care Clinic/Center in Albany, New York
NPI 1225122054

Koinonia Healthcare is a Primary Care Clinic/Center based in Albany, NY and is specialized in Primary Care. Koinonia Healthcare practices in Albany, NY. The NPI Number for Koinonia Healthcare is 1225122054 and holds a License No. 60/201542 (New York).

The current practice location address for Koinonia Healthcare is 553 Clinton Avenue, Albany, NY and can be reached out via phone at 518-689-0282.

Location: 553 Clinton Avenue, Albany, NY, 12206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225122054
Provider Name
Koinonia Healthcare
Credential
Provider Entity Type
Organization
Address
553 Clinton Avenue, Albany, NY, 12206
Phone Number
518-689-0282
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01753680 05 NY
G9202 01 NY CDPHP GROUP
institution
Provider Business Practice Location Address Details
Address
553 Clinton Avenue
City
Albany
State
New York
Zip
12206
Phone Number
518-689-0282
Fax Number
person
Provider Business Mailing Address Details
Address
553 Clinton Avenue
City
Albany
State
New York
Zip
12206
Phone Number
518-689-0282
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
60/201542 (New York)
Definition
Definition to come...
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