Individual
GHAZALA NATHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 3RD ST, WATERFORD, NY 12188-2437
(518) 237-0641
Mailing address
46 3RD ST, WATERFORD, NY 12188-2437
(518) 237-0641
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
00639
NY
Other
Enumeration date
09/10/2015
Last updated
07/18/2019
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