Organization
ALBANY CARDIOTHORACIC SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN J DWYER (BUSINESS ADMINISTRATOR)
(518) 525-2545
Entity
Organization
Contact information
Practice address
319 S MANNING BLVD, SUITE 110, ALBANY, NY 12208-1742
(518) 525-2551
(518) 525-2522
Mailing address
319 S MANNING BLVD, SUITE 110, ALBANY, NY 12208-1742
(518) 525-2551
(518) 525-2522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00422835
—
NY
01
—
CA1873
RAILROAD MEDICARE
NY
Enumeration date
06/08/2006
Last updated
05/25/2011
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