Organization
THE EMBRYOLOGY NETWORK
Active
Organization
THE EMBRYOLOGY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA ANN KELLOM PH.D. (OWNER/OPERATOR)
(518) 434-9006
Entity
Organization
Contact information
Practice address
600 NORTHERN BLVD., ALBANY MEMORIAL HOSPITAL, ALBANY, NY 12204
(518) 471-3276
(518) 471-3686
Mailing address
462 MADISON AVE, ALBANY, NY 12208-3601
(518) 434-9006
(518) 471-3686
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
GA121
NY
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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