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Organization

ALLERGY & IMMUNOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HILAIRE J MEUISSEN MD (OWNER)
(518) 439-7490
Entity
Organization

Contact information

Practice address
785 DELAWARE AVE, DELMAR, NY 12054-9713
(518) 439-7490
Mailing address
785 DELAWARE AVE, DELMAR, NY 12054-9713

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
1145251
NY

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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