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1629272059
TIMOTHY S. DERENZO
ALBANY, NY
NPI
1629272059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 244547)
Enumeration Date
2007-06-11
Last Update Date
2021-05-11
Business Address
DR. TIMOTHY S. DERENZO M.D.
63 SHAKER RD SUITE G02
ALBANY, NY 12204-1030
Phone number: 518-449-5352
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Mailing Address
DR. TIMOTHY S. DERENZO M.D.
PO BOX 14890
ALBANY, NY 12212-4890
Phone number: 518-525-5634
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