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Individual

MRS. DEBORAH A GIFTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED

Contact information

Practice address
127 N CROSS RD, CHATHAM, NY 12037-1176
(518) 858-7794
(518) 392-4943
Mailing address
127 N CROSS RD, CHATHAM, NY 12037-1176
(518) 858-7794
(518) 392-4943

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
409240032
NY

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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