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Organization

MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN MAROLA RN (PRACTICE MANAGER)
(518) 374-9153
Entity
Organization

Contact information

Practice address
700 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1019
(518) 374-9153
(518) 379-5195
Mailing address
700 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1019
(518) 374-9153
(518) 379-5195

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02116829
NY
Enumeration date
08/09/2006
Last updated
02/12/2008
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