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Individual

DR. DMITRY SHTRAMBRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-3474
Mailing address
PO BOX 843398, BOSTON, MA 02284-3398
(845) 353-5600
(845) 353-3474

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
252395
NY
207R00000X
Internal Medicine Physician
25MA07719100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0048372
NJ
01
1174578165
NPI
Enumeration date
05/24/2006
Last updated
02/07/2013
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