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Individual

MS. DEBORAH KING KUNDERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1740 WESTERN AVE, SUITE 100, ALBANY, NY 12203-4414
(518) 464-5060
(518) 464-5023
Mailing address
33 ROCKROSE DRIVE, EAST GREENBUSH, NY 12061-1673
(518) 436-3674
(518) 464-5023

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
010764
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000490284003
BSNENY
01
10016143
CDPHP
01
V889A
EMPIRE BCBS
Enumeration date
03/07/2007
Last updated
07/08/2007
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