Organization
FAMILY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIDA P MIRZA MD (PRESIDENT)
(518) 482-0431
Entity
Organization
Contact information
Practice address
4 PALISADES DR, SUITE 130, ALBANY, NY 12205
(518) 482-0431
(518) 446-0731
Mailing address
4 PALISADES DR, SUITE 130, ALBANY, NY 12205
(518) 482-0431
(518) 446-0731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01234844
—
NY
Enumeration date
02/28/2007
Last updated
10/15/2007
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