Individual
NICHOLAS KONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 CARE LANE, SARATOGA SPRINGS, NY 12866
(518) 587-7625
(518) 587-0273
Mailing address
6 CARE LN, SARATOGA SPRINGS, NY 12866-8624
(800) 243-5854
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
206317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178469206204
—
NY
01
—
060047691
RR MEDICARE
NY
Enumeration date
03/08/2006
Last updated
05/14/2021
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