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Individual

EMANUEL CIRENZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6 MOUNTAIN LEDGE, GANSEVOORT, NY 12831-2539
(518) 584-0355
(518) 583-7665
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206716
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01752336
NY
Enumeration date
10/13/2006
Last updated
05/14/2015
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