Individual
MARIA NICOLE KANSAS DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 437-5970
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 437-5970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
171925
NY
Other
Enumeration date
06/15/2006
Last updated
09/16/2014
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