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Organization
NOTT STREET MEDICAL, PLLC
Active
Organization
NOTT STREET MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MIRZA MD (OWNER & SOLE MEMBER)
(518) 374-1655
Entity
Organization
Contact information
Practice address
1150 NOTT ST, SCHENECTADY, NY 12308-2426
(518) 374-1655
(518) 374-1657
Mailing address
1150 NOTT ST, SCHENECTADY, NY 12308-2426
(518) 374-1655
(518) 374-1657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NONE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H230
CDPHP
NY
Enumeration date
08/05/2006
Last updated
08/22/2020
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