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Individual

ABBEY ELIZABETH LAPAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
31 6TH ST, MALONE, NY 12953-1246
(518) 481-8174
Mailing address
15041 STATE ROUTE 30, MALONE, NY 12953-4823
(518) 955-4778

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY
174400000X
Specialist

Other

Enumeration date
11/22/2017
Last updated
11/22/2017
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