MAGNOLIA DERMATOLOGY, PLLC

LATHAM, NY
NPI1932889102
Entity TypeOrganization
Authorized ContactVIRGINIA TRACEY
Member
518-888-2012
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2023-07-21
Last Update Date2024-05-13
Business Address
MAGNOLIA DERMATOLOGY, PLLC
582 NEW LOUDON RD
LATHAM, NY 12110-4059
Phone number: 518-888-2012
Mailing Address
MAGNOLIA DERMATOLOGY, PLLC
1 LOUDON HTS S
LOUDONVILLE, NY 12211-2013
Phone number:
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