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1700346566
MATTHEW ISAAC DERAKHSHESH
ALBANY, NY
NPI
1700346566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: 64149)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
Dr. MATTHEW ISAAC DERAKHSHESH MD
47 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-262-5735
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Mailing Address
Dr. MATTHEW ISAAC DERAKHSHESH MD
47 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-262-5834
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