Individual
RAHEELA BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 STABLEGATE DR, CLIFTON PARK, NY 12065-6796
(518) 428-7742
Mailing address
17 STABLEGATE DR, CLIFTON PARK, NY 12065-6796
(518) 428-7742
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
000406-1
NY
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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