Organization
MADHU PADI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU PADI (OWNER)
(518) 782-3820
Entity
Organization
Contact information
Practice address
711 TROY SCHENECTADY RD, LATHAM, NY 12110-2442
(518) 782-3820
Mailing address
711 TROY SCHENECTADY RD, LATHAM, NY 12110-2442
(518) 782-3820
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
172181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01699994
—
NY
Enumeration date
03/02/2007
Last updated
06/18/2008
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