Individual
DAMON J DETESO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 CHURCH ST, SARATOGA SPGS, NY 12866-1046
(518) 583-8461
Mailing address
4 AUTOMATION LN, STE 125, ALBANY, NY 12205-1660
(518) 275-7126
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
233692
NY
Other
Enumeration date
10/28/2005
Last updated
08/01/2018
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