Individual
FE A MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1019
(518) 374-9153
Mailing address
700 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1019
(518) 374-9153
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
140053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00546965
—
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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