Organization
TRISTAR PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TERESITA FERNANDO MD (PRESIDENT)
(518) 786-6816
Entity
Organization
Contact information
Practice address
2210 TROY SCHENECTADY RD, NISKAYUNA, NY 12309-4725
(518) 786-6816
(518) 786-6816
Mailing address
PO BOX 1461, LATHAM, NY 12110-8961
(518) 786-6816
(518) 786-1293
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/14/2005
Last updated
08/22/2020
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