Individual
DR. JUDITH A MYSLIBORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
149 S LAKE AVE, ALBANY, NY 12208-3201
(518) 434-8121
(518) 426-0620
Mailing address
17 CHESTERFIELD DRIVE, VOORHEESVILLE, NY 12186
(518) 765-4928
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1194951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070003652
RAILROAD MEDICARE
NY
01
—
07106
MVD INS
NY
01
—
10001448
CDPHP INS
NY
Enumeration date
10/20/2006
Last updated
06/23/2008
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