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1134115462
ALI ASGHER KHANSHAB
ALBANY, NY
NPI
1134115462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 010790)
Enumeration Date
2005-09-22
Last Update Date
2007-07-08
Business Address
MR. ALI ASGHER KHANSHAB RPA-C
2 PALISADES DR
ALBANY, NY 12205-1438
Phone number: 518-458-2000
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Mailing Address
MR. ALI ASGHER KHANSHAB RPA-C
4 ATRIUM DR SUITE 100, ATTN: TAMMY M. BUTTON
ALBANY, NY 12205-1441
Phone number: 518-435-2740
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