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Individual

MR. EDMUND JOHN MCGRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
911 CENTRAL AVENUE #24, ALBANY, NY 12206
(917) 561-4809
Mailing address
911 CENTRAL AVENUE #24, ALBANY, NY 12206
(917) 561-4809

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0035851
NY

Other

Enumeration date
06/27/2008
Last updated
06/27/2008
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