Individual
MR. DENNIS PATRICK RISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
315 S MANNING BLVD, DEPT OF SURGERY, ALBANY, NY 12208-1707
(518) 525-1550
Mailing address
315 S MANNING BLVD, DEPT OF SURGERY, ALBANY, NY 12208-1707
(518) 525-1550
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0002835-1
NY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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