Individual
DR. SHARON TIETGENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1365 WASHINGTON AVE, STE 300, ALBANY, NY 12206-1098
(518) 489-4704
(518) 489-0512
Mailing address
1365 WASHINGTON AVE, STE 300, ALBANY, NY 12206-1098
(518) 489-4704
(518) 489-0512
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
188290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01700614
—
NY
Enumeration date
07/01/2005
Last updated
07/08/2007
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