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Individual

HADI KOOHSARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 UNION ST, SCHENECTADY, NY 12305-1504
(518) 374-1610
(518) 374-3512
Mailing address
701 UNION ST, SCHENECTADY, NY 12305-1504
(518) 374-1610
(518) 374-3512

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2086081
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00628079
NY
Enumeration date
12/06/2005
Last updated
06/18/2013
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