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Organization
UPSTATE MEDICAL ASSOCIATES PLLC
Active
Organization
UPSTATE MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNAN RAGHAVAN M.D. (PRESIDENT)
(518) 843-0500
Entity
Organization
Contact information
Practice address
446B GUY PARK AVE., AMSTERDAM, NY 12010-1005
(518) 843-0500
(518) 843-0600
Mailing address
446B GUY PARK AVE., AMSTERDAM, NY 12010
(518) 843-0500
(518) 843-0600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
181783
NY
Other
Enumeration date
12/04/2007
Last updated
12/11/2007
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