Individual
IFTIKHAR BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
17 STABLEGATE DR, CLIFTON PARK, NY 12065-6796
(518) 210-5571
Mailing address
17 STABLEGATE DR, CLIFTON PARK, NY 12065-6796
(518) 210-5571
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0350191
NY
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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