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Individual
DR. NANCYANN CONDRO
Active
Individual
DR. NANCYANN CONDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01157304
—
NY
01
—
044109001
MEDICARE DMERC
NY
Enumeration date
03/31/2006
Last updated
05/31/2011
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