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1902025224
SRINIVAS R MITTA
ALBANY, NY
NPI
1902025224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 133219)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
SRINIVAS R MITTA
75 NEW SCOTLAND AVE
ALBANY, NY 12208-3409
Phone number: 518-447-9611
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Mailing Address
SRINIVAS R MITTA
426 FRANKLIN ST
SCHENECTADY, NY 12305-2040
Phone number:
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