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Michael Devito, MD
Specialist in Albany, New York
NPI 1710963160

Michael Devito is a Specialist based in Albany, NY. Michael Devito practices in Albany, NY and has the professional credentials of MD. The NPI Number for Michael Devito is 1710963160 and holds a License No. 177478 (New York).

The current practice location address for Michael Devito is 6 Executive Park Dr, Albany, NY and can be reached out via phone at 518-482-9111 and via fax at 518-482-6142.

Location: 6 Executive Park Dr, Albany, NY, 12203-3791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710963160
Provider Name
Michael Devito
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6 Executive Park Dr, Albany, NY, 12203-3791
Phone Number
518-482-9111
Fax Number
518-482-6142
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11208 01 NY GHI HMO
01133971 05 NM
000406181004 01 NY BLUE SHIELD
10000486 01 NY CDPHP
0600005 01 NY GHI
4594621 01 NY AETNA
04146 01 NY MVP
11208 01 NY WELLCARE
27F0810 01 NY BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
6 Executive Park Dr
City
Albany
State
New York
Zip
12203-3791
Phone Number
518-482-9111
Fax Number
518-482-6142
person
Provider Business Mailing Address Details
Address
6 Executive Park Dr
City
Albany
State
New York
Zip
12203-3791
Phone Number
518-482-9111
Fax Number
518-482-6142
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
177478 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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