Basic Information
Provider Information
NPI: 1275641839
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARGUBANO
FirstName: RENEE
MiddleName: ARRUIRA
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 14890
Address2:  
City: ALBANY
State: NY
PostalCode: 122124890
CountryCode: US
TelephoneNumber: 5185255634
FaxNumber:  
Practice Location
Address1: 1 TALLOW WOOD DR
Address2:  
City: CLIFTON PARK
State: NY
PostalCode: 120652807
CountryCode: US
TelephoneNumber: 5183734500
FaxNumber: 5183717811
Other Information
ProviderEnumerationDate: 08/25/2006
LastUpdateDate: 05/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X247885NYY Allopathic & Osteopathic PhysiciansFamily Medicine 
207P00000X247885NYN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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