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Individual

MICHELLE DIMEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA

Contact information

Practice address
711 TROY SCHENECTADY RD, SUITE 114, LATHAM, NY 12110-2442
(518) 786-1600
(518) 786-1606
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
R000191
NY

Other

Enumeration date
04/02/2013
Last updated
04/02/2013
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