Individual
DR. RENEE SAMELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
391 MYRTLE AVE STE 200, ALBANY, NY 12208-3835
(518) 262-4942
(518) 262-6904
Mailing address
391 MYRTLE AVE STE 200, ALBANY, NY 12208-3835
(518) 262-4942
(518) 262-6904
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
182249-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01200100
—
NY
Enumeration date
09/19/2005
Last updated
10/28/2020
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