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1205958659
ROBERT DANIEL DESIDERIO
GLENS FALLS, NY
NPI
1205958659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 196286)
Enumeration Date
2007-04-05
Last Update Date
2007-07-08
Business Address
-- ROBERT DANIEL DESIDERIO M.D.
100 PARK ST
GLENS FALLS, NY 12801-4413
Phone number: 518-926-3120
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Mailing Address
-- ROBERT DANIEL DESIDERIO M.D.
257 SCHWERDTFEGER RD
PUTNAM STATION, NY 12861-2911
Phone number: 518-547-8722
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