State Of New York Comptrollers Office

Specialty details in registry · Phelps, NY

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At a glance

144 W Main St, Phelps, NY 14532

NPPES record updated Jun 14, 2016. Public records can lag behind changes at a practice.

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Practice location

144 W Main St
Phelps, NY 14532

Professional details: NPI, taxonomy & registry record

NPI1033569736

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QD1600X
Enumeration date: Jun 14, 2016
Record updated: Jun 14, 2016

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QD1600X · Primary

License reported: 00232123 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

144 W Main St
Phelps, NY 14532

Phone: (510) 402-4333

Mailing address

44 HOLLAND AVE

ALBANY, NY 12229

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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