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33D2009727 CLIA NUMBER - NUVANCE KINGSTON PRIMARY CARE

Laboratory Demographics

CLIA Number: 33D2009727

Facility Name: NUVANCE KINGSTON PRIMARY CARE

Facility Address:
334 PLAZA ROAD
KINGSTON, NY
ZIP 12401
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Facility Phone Number: 845 338-0180

Facility Type: Other - PRIMARY CARE OFFICE

Certificate Type: Microscopy
NPI Number: 1396100087

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 33D2009727
LAB Type Other - PRIMARY CARE OFFICE
Facility Name NUVANCE KINGSTON PRIMARY CARE
Street 334 PLAZA ROAD
City KINGSTON
State NY
ZIP 12401
Phone 845 338-0180
CertificateType 3
CertificateEffectiveDate 1/4/2016
CertificateExpirationDate 3/26/2027
FacilityType PPMP

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This page was last updated on: 4/23/2024