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Individual

SEWPERSAUD R MADHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.P.,

Contact information

Practice address
1479 PARKWOOD BLVD, SUITE 101, SCHENECTADY, NY 12308-2525
(518) 370-3005
(518) 370-3005
Mailing address
1479 PARKWOOD BLVD STE 101, SCHENECTADY, NY 12308-2525
(518) 370-3005
(518) 370-3005

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP003663
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
400202272001
CDPHP
NY
Enumeration date
11/23/2009
Last updated
05/09/2013
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