Individual
JEENA THERESA MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
624 MCCLELLAN STREET, SUITE G05, SCHENECTADY, NY 12304-1020
(518) 347-5113
(518) 347-5169
Mailing address
624 MCCLELLAN STREET, SUITE G05, SCHENECTADY, NY 12304-1020
(518) 347-5113
(518) 347-5169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
234436-1
NY
208000000X
Pediatrics Physician
Primary
234436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02755099
—
NY
Enumeration date
02/28/2006
Last updated
05/21/2021
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