Individual
DR. HARRY J DEPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 NOTT ST, STE 4B, SCHENECTADY, NY 12308-2425
(518) 243-3610
(518) 243-3613
Mailing address
319 S MANNING BLVD, SUITE 110, ALBANY, NY 12208-1742
(518) 525-2542
(518) 525-2524
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
147956-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00955862
—
NY
Enumeration date
08/03/2005
Last updated
08/26/2009
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