WHITNEY YOUNG HEALTH
NPI 1073960100
Clinic/Center - Federally Qualified Health Center (FQHC) in Watervliet, NY

Q: What is Whitney M Young Jr. Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 18, 2016CLIA Certified · 2 labs

1804 2ND AVE, WATERVLIET, NY 12189(518) 833-6900(518) 833-6919 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2017, May 18, 2016 (2 updates tracked since 2016).

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About Whitney Young Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY YOUNG HEALTH (NPI 1073960100) is a healthcare organization registered as a federally qualified health center (fqhc) in Watervliet, New York and active in the NPI registry since May 2016. The organization holds 2 active CLIA laboratory certificates and lists Mary Connolly, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073960100

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameWHITNEY M YOUNG JR. HEALTH CENTER, INC

Location Address1804 2ND AVEWatervliet, NY 12189-2818

Mailing Address920 Lark DrAlbany, NY 12207-1300 · (518) 465-4771 · Fax (518) 242-4784

Phone(518) 833-6900

Fax(518) 833-6919

Organization SubpartNo

Authorized OfficialMary ConnollyCfo · (518) 465-4771

Enumeration DateMay 18, 2016

Last NPPES UpdateJune 5, 20172 updates tracked since enumeration

✔ NPI 1073960100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedDentistTaxonomy 122300000X

Also ListedFamily MedicineTaxonomy 207Q00000X

1804 2ND AVE, Watervliet, NY 12189

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Other Names 1

Other NameWhitney Young Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2112206

Whitney M Young Jr Health Center - Watervliet Ny · Watervliet, NY

Active · expires Mar 26, 2027

CLIA Number33D2112206

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 27, 2022

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Deborah A. Vasquez

Laboratory Phone(518) 591-4458

Laboratory LocationWhitney M Young Jr Health Center - Watervliet Ny1804 Second Ave, Watervliet, NY 12189

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2056694

Whitney M Young Jr Troy Health Center · Troy, NY

Active · expires Mar 26, 2027

CLIA Number33D2056694

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 2, 2013

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Deborah A. Vasquez

Laboratory Phone(518) 833-6900

Laboratory LocationWhitney M Young Jr Troy Health Center849 Second Ave, Troy, NY 12182

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney M Young Jr. Health Center, Inc's NPI number?

The NPI number for Whitney M Young Jr. Health Center, Inc is 1073960100. It was assigned to this organization in the NPPES registry on May 18, 2016. The provider is also known as Whitney Young Health.

Where is Whitney M Young Jr. Health Center, Inc located?

Whitney M Young Jr. Health Center, Inc is located at 1804 2nd Ave, Watervliet, NY 12189. The listed phone number is (518) 833-6900.

What is Whitney M Young Jr. Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Whitney M Young Jr. Health Center, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Whitney M Young Jr. Health Center, Inc was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.