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Individual

PAMELA J MADEJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP, RN, MS

Contact information

Practice address
116 EVERETT RD, ALBANY, NY 12205-1427
(518) 463-0171
(518) 463-0174
Mailing address
116 EVERETT RD, ALBANY, NY 12205-1427
(518) 463-0171
(518) 463-0174

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
F30236601
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F3023661
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000497460001
BSNENY
NY
01
347727
MVP
NY
01
500023660
RAIL ROAD MEDICARE
NY
Enumeration date
09/09/2005
Last updated
02/11/2011
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