Individual
SANDRA LAITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
(518) 242-4784
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
(518) 242-4784
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004406
NY
Other
Enumeration date
08/12/2006
Last updated
04/05/2012
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