Individual
DR. KENNETH A DEITCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79 HARRIS AVE, ALBANY, NY 12208-3018
(518) 489-7678
Mailing address
79 HARRIS AVE, ALBANY, NY 12208-3018
(518) 489-7678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
079496-1
NY
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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