Individual
MRS. TINA MARIE BATES FONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3409
(518) 549-6700
Mailing address
305 FISHER BLVD APT D, DELMAR, NY 12054-2455
(518) 549-6670
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
510611
NY
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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