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Organization
WATERTOWN PEDIATRICS,PC
Active
Organization
WATERTOWN PEDIATRICS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED LIBERO GIANFAGNA M.D. (PRESIDENT)
(315) 782-7330
Entity
Organization
Contact information
Practice address
1571 WASHINGTON ST, SUITE 107, WATERTOWN, NY 13601-9304
(315) 782-7330
(315) 782-5773
Mailing address
1571 WASHINGTON STREET, SUITE 107, WATERTOWN, NY 13601-9319
(315) 782-7330
(315) 782-5773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
145633
NY
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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