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Organization
PINE HILLS FAMILY MEDICINE, PLLC
Active
Organization
PINE HILLS FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR LEE TULCHINSKY DO (OWNER)
(518) 482-1570
Entity
Organization
Contact information
Practice address
527 WESTERN AVE, ALBANY, NY 12203-1721
(518) 482-1570
Mailing address
255 LARK ST, ALBANY, NY 12210-1108
(518) 482-1570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
11/05/2007
Last updated
05/02/2013
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