Empire State Physician Pllc

NPI #1427394428 in Albany, New York

Provider Information

NPI Number
1427394428
Entity Type
Organization
Organization Name
Empire State Physician Pllc
Primary Specialty
Internal Medicine
Enumeration Date
Dec 19, 2012
Last Updated
Dec 19, 2012

Practice Location

Address
180 WASHINGTON AVENUE EXT
City
Albany
ZIP Code
12203-5304
Phone
(518) 456-7831

Authorized Official

Name
EDGAR R HENRIQUES, MD
Title
OWNER
Phone
(518) 433-0205

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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