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ALBERT DEFABRITUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
352 7TH AVE, SUITE 1003, NEW YORK, NY 10001-5012
(212) 807-8817
(212) 255-6577
Mailing address
352 7TH AVE, SUITE 1003, NEW YORK, NY 10001-5012
(212) 807-8817
(212) 255-6577

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
120801
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00344472
NY
Enumeration date
01/10/2006
Last updated
09/02/2011
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