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Organization
OGDENSBURG MEDICAL GROUP P.C.
Active
Organization
OGDENSBURG MEDICAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICO A LOINAZ M.D. (PRESIDENT)
(315) 393-2295
Entity
Organization
Contact information
Practice address
1231 CONGRESS ST, OGDENSBURG, NY 13669-3268
(315) 393-2295
(315) 393-9604
Mailing address
PO BOX 308, 1231 CONGRESS ST, OGDENSBURG, NY 13669
(315) 393-2295
(315) 393-9604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108852
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00463823
—
NY
Enumeration date
07/07/2005
Last updated
08/22/2020
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