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Individual

CALAN HOWARD DEUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
161 CAREY RD, QUEENSBURY, NY 12804-7821
(518) 824-8610
(518) 824-2390
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029117
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07500049
NY
Enumeration date
09/20/2022
Last updated
05/23/2025
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