Individual
DR. ALBERT PERSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42 DUNHAM AVE, JAMESTOWN, NY 14701-2514
(716) 665-7007
(716) 664-6131
Mailing address
95 EAST CHAUTAUQUA ST, PO BOX 168, MAYVILLE, NY 14757-0168
(716) 753-7107
(716) 753-5367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01816999
—
NY
Enumeration date
10/20/2005
Last updated
04/14/2014
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