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Individual

ADRIENNE E COBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2085
(518) 701-2020
Mailing address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2085
(518) 701-2020

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022947
NY
363A00000X
Physician Assistant
50002529
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05418048
NY
Enumeration date
01/15/2007
Last updated
05/23/2023
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