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Organization
LC COELHO MEDICAL PLLC
Active
Organization
LC COELHO MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIZ COELHO MD (OWNER)
(518) 698-7544
Entity
Organization
Contact information
Practice address
325 NORTHERN BLVD, ALBANY, NY 12204-1001
(518) 698-7544
Mailing address
72 HIGH ST, GREEN ISLAND, NY 12183-1422
(518) 698-7544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
246135
NY
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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