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General NPI Number Information
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NPI Number | 1851370563
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Entity Type | Organization
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Legal Business Name | DULAY & DULAY MD PC
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 223 BROADWAY
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City | RENSSELAER
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State | NY
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Zip | 12144
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Country | US
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Telephone | 518-432-5777
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Fax | 518-432-6777
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Provider Business Mailing Address
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Address Line | PO BOX 28 223 BROADWAY
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City | RENSSELAER
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State | NY
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Zip | 12144
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Country | US
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Telephone | 518-432-5777
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Fax | 518-432-6667
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMUEL CASTILLO DULAY
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Credential | MD
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Telephone | 518-432-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1150721
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 1150721
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License Number State | NY
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