Individual
DR. NANCYANN CONDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
427 BROADWAY, SUITE 2, MONTICELLO, NY 12701-1742
(845) 794-7741
(845) 794-0228
Mailing address
427 BROADWAY, SUITE 2, MONTICELLO, NY 12701-1742
(845) 794-7741
(845) 794-0228
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01157304
—
NY
01
—
044109001
MEDICARE DMERC
NY
Enumeration date
03/31/2006
Last updated
05/31/2011
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