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Individual

DARCI A GAIOTTI-GRUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
102 PARK ST, CR WOOD CANCER CENTER, GLENS FALLS, NY 12801-4449
(518) 926-6620
(518) 926-1954
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
252440
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03108963
NY
01
P00776468
RR MEDICARE
NY
Enumeration date
07/10/2006
Last updated
06/29/2021
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