Individual
TERRY PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
374 HUDSON AVE, ALBANY, NY 12210-1003
(518) 495-2286
(518) 462-5889
Mailing address
374 HUDSON AVENUE, ALBANY, NY 12210
(518) 495-2286
(518) 462-5889
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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