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Organization
ECKARDT JOHANNING, M.D., P.C.
Active
Organization
ECKARDT JOHANNING, M.D., P.C.
Active
Parent organization
ECKARDT JOHANNING, M.D. P.C.
Other names
eckardt johanning
Organization subpart
Yes
Provider details
NPI number
Legal business name
ECKARDT JOHANNING, M.D. P.C.
Authorized official
DR. ECKARDT JOHANNING M.D., P.C. (PHYSICIAN)
(518) 459-3336
Entity
Organization
Contact information
Practice address
4 EXECUTIVE PARK DR, ALBANY, NY 12203-3718
(518) 459-3336
(518) 459-4646
Mailing address
4 EXECUTIVE PARK DRIVE, ALBANY, NY 12203-3717
(518) 459-3336
(518) 459-4646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1752781
NY
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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