Koinonia Primary Medical Care Pc

LBN: Koinonia Primary Care Inc
Koinonia Primary Medical Care Pc is an health care organization with primary practice located at 553 Clinton Ave , Albany NY 12206-2738. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Koinonia Primary Care Inc can be contacted via phone (518) 689-0282, or through Paeglow, Robert John via phone (518) 689-0282.

Contact Information

Primary practice address
553 Clinton Ave Albany NY 12206-2738
Phone: (518) 689-0282
Fax: (518) 689-0283
Website:
Map and Directions
Authorized official contact:
Name: Paeglow, Robert John Doctor of Medicine (MD)
Phone: (518) 689-0282

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X New York

Profile Details

NPI number 1023389533
LBN Legal business name Koinonia Primary Care Inc
DBA Doing business as Koinonia Primary Medical Care Pc
Authorized official Paeglow, Robert John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2012
Last updated Jan 16th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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