Provider Demographics
NPI:1407492796
Name:AMERICAN ECARE
Entity Type:Organization
Organization Name:AMERICAN ECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAPHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENMOUSSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-345-3050
Mailing Address - Street 1:2214 BROOKE CIR
Mailing Address - Street 2:
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189-3157
Mailing Address - Country:US
Mailing Address - Phone:518-345-3050
Mailing Address - Fax:866-277-0792
Practice Address - Street 1:3 COMPUTER DR W STE 107
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1621
Practice Address - Country:US
Practice Address - Phone:518-345-3050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty