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General NPI Number Information
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NPI Number | 1447392949
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Entity Type | Organization
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Legal Business Name | COHOES PHYSICIANS PC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 244 ONTARIO ST
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City | COHOES
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State | NY
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Zip | 12047-2868
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Country | US
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Telephone | 518-237-2911
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Fax | 518-237-2911
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Provider Business Mailing Address
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Address Line | 244 ONTARIO ST
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City | COHOES
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State | NY
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Zip | 12047-2868
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Country | US
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Telephone | 518-237-2911
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Fax | 518-237-2911
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Authorized Official
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Title or Position | MED DIRECTOR OF COHOES PHYSICIANS
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Name | BERNARDO S EVANGELISTA
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Credential | MD
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Telephone | 518-237-2911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NY
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