Individual
DR. MICHAEL BROOKS WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
759 WALDENS POND RD, ALBANY, NY 12203-6006
(518) 330-3797
Mailing address
759 WALDENS POND RD, ALBANY, NY 12203-6006
(518) 330-3797
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
248413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02979697
—
NY
Enumeration date
06/01/2007
Last updated
06/06/2023
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