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Individual

MISS ABIGAIL LOUISE MANTICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1367 WASHINGTON AVE, ALBANY, NY 12206-1069
(518) 489-2666
Mailing address
1367 WASHINGTON AVE STE 200, ALBANY, NY 12206-1048
(518) 489-2666

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
295034
NY

Other

Enumeration date
04/03/2012
Last updated
01/02/2019
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