Individual
DR. LAURA ELLEN STAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 WEMBLEY CT, STE 101, ALBANY, NY 12205-3891
(518) 869-4300
(518) 869-8386
Mailing address
22 RIDGEFIELD ST, ALBANY, NY 12208-2908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
198187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01628082
—
NY
Enumeration date
07/12/2005
Last updated
09/27/2017
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