# MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184634297
- **Authorized official:** SUSAN MAROLA RN (PRACTICE MANAGER)
- **Authorized official phone:** (518) 374-9153

## Contact information

- **Practice address:** 700 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1019
- **Practice address phone:** (518) 374-9153
- **Practice address fax:** (518) 379-5195
- **Mailing address:** 700 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1019
- **Mailing address phone:** (518) 374-9153
- **Mailing address fax:** (518) 379-5195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 02/12/2008
