Individual
PADMA ADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2614 RIVER FRONT CENTER, AMSTERDAM, NY 12010
(518) 627-0628
(518) 627-0628
Mailing address
124 COMANCHE TRL, NISKAYUNA, NY 12309-2243
(518) 395-9215
(518) 395-9216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
235516
NY
Other
Enumeration date
03/14/2006
Last updated
09/11/2012
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