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1689705014
RUSSELL MEMHARD
ALBANY, NY
NPI
1689705014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 004263-1)
Enumeration Date
2007-03-08
Last Update Date
2021-06-11
Business Address
Mr. RUSSELL MEMHARD PA-C
600 NORTHERN BLVD
ALBANY, NY 12204-1004
Phone number: 518-471-3272
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Mailing Address
Mr. RUSSELL MEMHARD PA-C
PO BOX 14890
ALBANY, NY 12212-4890
Phone number: 518-525-5634
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