Individual
DR. NISCHALA AMMANNAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 PATROON CREEK BLVD STE 1, ALBANY, NY 12206-5014
(518) 489-0044
(518) 489-3591
Mailing address
449 ROUTE 146, STE 101, HALFMOON, NY 12065-3239
(518) 373-3924
(518) 373-3808
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
287081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04891250
—
NY
Enumeration date
06/27/2011
Last updated
09/26/2019
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