Individual
KATIE R PANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, DEPARTMENT OF INTERNAL MEDICINE, ALBANY, NY 12208-3412
(518) 262-3125
Mailing address
47 NEW SCOTLAND AVE, DEPARTMENT OF INTERNAL MEDICINE, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
287177
NY
390200000X
Student in an Organized Health Care Education/Training Program
63368
NY
Other
Enumeration date
04/30/2013
Last updated
01/26/2021
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