Individual
MICHAEL PATRICK MADDEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
9A HERBERT DR, LATHAM, NY 12110
(518) 786-0687
(518) 786-0687
Mailing address
# 7 RT 151, EAST GREENBUSH, NY 12061
(518) 786-0687
(518) 786-0687
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01746390
—
NY
Enumeration date
06/02/2006
Last updated
09/11/2025
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