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Organization

UPSTATE CARDIOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRINCEWILL O OGBUJI M.D. (MD/OWNER)
(518) 758-2055
Entity
Organization

Contact information

Practice address
1301 RIVER ST, SUITE 201, VALATIE, NY 12184-9694
(518) 758-2055
(518) 758-2057
Mailing address
1301 RIVER ST, SUITE 201, VALATIE, NY 12184-9694
(518) 758-2055
(518) 758-2057

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2005731
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB7570
RAILROAD MEDICARE
NY
Enumeration date
05/23/2006
Last updated
11/03/2008
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