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1427394428
EMPIRE STATE PHYSICIAN PLLC
ALBANY, NY
NPI
1427394428
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Entity Type
Organization
Authorized Contact
EDGAR R HENRIQUES
Owner
518-433-0205
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 231783)
Enumeration Date
2012-12-19
Last Update Date
2012-12-19
Business Address
EMPIRE STATE PHYSICIAN PLLC
180 WASHINGTON AVENUE EXT
ALBANY, NY 12203-5304
Phone number: 518-456-7831
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Mailing Address
EMPIRE STATE PHYSICIAN PLLC
11 RUSO DR
MENANDS, NY 12204-1313
Phone number: 518-433-0205
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