ProviderBusinessMailingAddressFaxNumber = '5186934490'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1255668109
BARRACLOUGH
NANCY
LEE
PO BOX 1368
ALBANY
NY
122011368
1811963937
SGAMBATI
CARL
W
PO BOX 1368
ALBANY
NY
122011368
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