# DURDANA MEHTABDIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guilderland Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639392871
- **Authorized official:** DURDANA MEHTABDIN MD (OWNER)
- **Authorized official phone:** (518) 464-9000

## Contact information

- **Practice address:** 2022 WESTERN AVE, ALBANY, NY 12203-5093
- **Practice address phone:** (518) 464-9000
- **Mailing address:** 2022 WESTERN AVE, ALBANY, NY 12203-5093
- **Mailing address phone:** (518) 464-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 10/21/2008