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1417031253
NICHOLAS DESTEFANO
ALBANY, NY
NPI
1417031253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 524397)
Enumeration Date
2006-10-25
Last Update Date
2016-05-25
Business Address
-- NICHOLAS DESTEFANO CRNA
1450 WESTERN AVE STE 102 ANESTHESIA GROUP OF ALBANY, PC
ALBANY, NY 12203-3539
Phone number: 518-463-0050
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Mailing Address
-- NICHOLAS DESTEFANO CRNA
1450 WESTERN AVE STE 102 ANESTHESIA GROUP OF ALBANY, PC
ALBANY, NY 12203-3539
Phone number: 518-463-0050
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