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Individual

MICHAEL J O BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 MCCLELLAN ST, DEPARTMENT OF EMERGENCY, SCHENECTADY, NY 12304-1009
(518) 382-2222
Mailing address
1462 ERIE BLVD, SUITE 2, SCHENECTADY, NY 12305-1026
(518) 243-1020
(518) 243-1021

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
144069-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01625061
NY
Enumeration date
07/07/2006
Last updated
03/14/2008
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