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1184622516
MATTHEW K. FAIRBANK
ALBANY, NY
NPI
1184622516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 007814)
Enumeration Date
2005-07-11
Last Update Date
2012-08-29
Business Address
Mr. MATTHEW K. FAIRBANK RPA-C
2 PALISADES DR
ALBANY, NY 12205-1438
Phone number: 518-458-2000
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Mailing Address
Mr. MATTHEW K. FAIRBANK RPA-C
2 PALISADES DR
ALBANY, NY 12205-1438
Phone number: 518-458-2000
Copy
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