DERMATOLOGIC SURGERY OF ALBANY, PLLC
Osteopathic Medicine in Albany, NY

License number
New York 1823931
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
Owner
Name: DR. MICHAEL J MULVANEY MD
Title: OWNER
Phone: (518) 452-1928
Address
Address
264 Washington Avenue Ext Ste 201 SUITE 201, Albany, NY 12203
National Provider ID: 1346437092
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DERMATOLOGIC SURGERY OF ALBANY, PLLC

264 Washington Ave Ext SUITE 201, Albany, NY 12203

Doing business as:
MICHAEL J. MULVANEY, MD, PLLC<br>Dermatologic Surgery Of Albany
Registration:
Jan 2, 2004
Phone:
(518) 452-1928 (Phone)
State ID:
2994506
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Categories:
Physicians' Assistants

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