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Organization
MICHAEL A. LETTRICK MD PC
Active
Organization
MICHAEL A. LETTRICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLEN LETTRICK MD (CEO)
(518) 477-1191
Entity
Organization
Contact information
Practice address
1528 COLUMBIA TPKE, CASTLETON, NY 12033-9584
(518) 477-1191
(518) 477-1255
Mailing address
1528 COLUMBIA TPKE, CASTLETON, NY 12033-9584
(518) 477-1191
(518) 477-1255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
189372
NY
Other
Enumeration date
11/17/2005
Last updated
06/17/2010
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