Individual
DUANE C RECORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 CORNELIA ST, SUITE 306, PLATTSBURGH, NY 12901-2779
(518) 566-9452
(518) 562-7189
Mailing address
206 CORNELIA ST, SUITE 306, PLATTSBURGH, NY 12901-2779
(518) 566-9452
(518) 562-7189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
127136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00650959
—
NM
Enumeration date
02/21/2006
Last updated
07/08/2007
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