WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. (NPI# 1417924762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417924762 |
| Entity Type | Organization |
| Organization Name | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Practice Address |
920 Lark Dr Albany NY 12207-1300 |
| Practice Telephone | 5185333136 |
| Practice Fax Number | 5184328712 |
| Mailing Telephone | 5185333136 |
| Mailing Fax Number | 5184328712 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | DAVID SHIPPEE (PRESIDENT & CEO) |
| Authorized Official Telephone | 5185914459 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
0101205R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00473565 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083864458 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 849 2nd Ave, Troy, NY 12182-2085 | 2008-09-23 |
| 1699256305 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 1245 Hillside Dr, Watervliet, NY 12189-2406 | 2018-08-22 |
| 1144731738 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 900 Lark Dr, Albany, NY 12207-1300 | 2017-10-23 |
| 1689947756 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 676 Clinton Ave, Albany, NY 12206-2216 | 2012-02-20 |
| 1942573027 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 274 S Pearl St, Albany, NY 12202-1829 | 2012-02-20 |
| 1023381100 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 400 Sheridan Ave, Albany, NY 12206-2920 | 2012-02-20 |
| Street Address |
920 LARK DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12207-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009685 | Kallanna Manjunath | Pediatrics | 920 Lark Dr, Albany, NY 12207-1300 | 2005-11-02 |
| 1851901086 | Latasha Powell | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2020-08-03 |
| 1538792833 | Jennifer Lynn Mcbain | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2020-02-15 |
| 1245871995 | Sara Vogel | Pharmacist | 920 Lark Dr, Albany, NY 12207-1300 | 2019-10-03 |
| 1780249250 | Kristey Marie Palmisano | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2019-05-09 |
| 1306300041 | Laquanya Haggray | Counselor | 920 Lark Dr, Albany, NY 12207-1300 | 2019-01-28 |
| 1144792904 | Mackenzie Meyer Berrus | Physician Assistant | 920 Lark Dr, Albany, NY 12207-1398 | 2018-12-18 |
| 1912491002 | Sally Fay Delory | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2018-06-21 |
| 1366956906 | Melissa Seaman Feltman | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2017-11-17 |
| 1770004095 | Shannon M Craig | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
| 1770020562 | Laura Mahoney | Dental Hygienist | 950 Lark Drive, Albany, NY 12207 | 2017-01-31 |
| 1003282880 | Hala Awad | Pharmacist | 17 21 N Pearl St, Albany, NY 12207 | 2015-08-17 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1275896805 | Deidre Romanski | Case Manager/Care Coordinator | 112 State Street Room 300, Albany, NY 12207 | 2012-06-19 |
| 1124325394 | Devon Clough | Registered Nurse | 3 Ecomm Square, Albany, NY 12207 | 2011-02-23 |
| 1336459825 | Elina Tsenter | Specialist | 112 State Street, Room 300, Albany, NY 12207 | 2010-10-18 |
| 1750609137 | Michele Monforte Papol | Registered Nurse | 3 East Commerce Square, Albany, NY 12207 | 2010-05-11 |
| 1982842704 | Richard Stuarts Metzger | Pharmacist | 418 Broadway, Albany, NY 12207 | 2009-02-02 |
| 1467639245 | Daniella Rodrigues Ferri | Pharmacist | 1721 North Pearl St, Albany, NY 12207 | 2008-01-24 |
| Find all providers in zip 12207 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1801264817 | Nycacts, Inc | Clinic/Center | 145 E 22nd St Apt 2h, New York, NY 10010-5512 | 2015-09-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.