Individual
LLEWELLYN FOULKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3738
Mailing address
PO BOX 909, LATHAM, NY 12110-0909
(518) 785-4609
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
235376
NY
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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