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Individual

RICHARD DALABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
NY
363AS0400X
Surgical Physician Assistant
Primary
012618
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03056613
NY
Enumeration date
06/26/2008
Last updated
05/28/2025
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