Organization
TROY INFECTIOUS DISEASE AND PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANVEER A SULTAN MD (OWNER)
(518) 496-2800
Entity
Organization
Contact information
Practice address
2317 15TH ST, TROY, NY 12180-2307
(518) 266-9960
(518) 266-9974
Mailing address
2317 15TH ST, TROY, NY 12180-2307
(518) 266-9960
(518) 266-9974
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
163626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01450095
—
NY
Enumeration date
03/11/2011
Last updated
12/13/2011
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