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Individual

DR. NOSA DENNIS AIGBE LEBARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
624 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1020
(518) 382-2260
(518) 347-5007
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
265524
NY
208M00000X
Hospitalist Physician
Primary
265524
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03479563
NY
Enumeration date
09/02/2010
Last updated
10/03/2018
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