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Individual

DR. HEIDI DAMBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3277
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
327894
NY
2085N0700X
Neuroradiology Physician
A110625
CA
2085R0202X
Diagnostic Radiology Physician
A110625
CA
2085R0202X
Diagnostic Radiology Physician
MD-16061
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0A1106250
CA
05
686470
HI
Enumeration date
11/27/2007
Last updated
05/06/2024
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