EMPIRE STATE PHYSICIAN PLLC

ALBANY, NY
NPI1427394428
Entity TypeOrganization
Authorized ContactEDGAR R HENRIQUES
Owner
518-433-0205
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  231783)
Enumeration Date2012-12-19
Last Update Date2012-12-19
Business Address
EMPIRE STATE PHYSICIAN PLLC
180 WASHINGTON AVENUE EXT
ALBANY, NY 12203-5304
Phone number: 518-456-7831
Mailing Address
EMPIRE STATE PHYSICIAN PLLC
11 RUSO DR
MENANDS, NY 12204-1313
Phone number: 518-433-0205