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NPI Code Detail

MEDICARE: ANGELA GRACE CONDY MD

MEDICARE: ANGELA GRACE CONDY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician171626NY

General Provider Information

NPI Number : 1366557720
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA GRACE CONDY MD
Provider Business Mailing Address
First Line : 19 WEST AVE
Second Line : SUITE101
City : SARATOGA SPRINGS
State : NY
Zip : 12866-6049
Country : US
Telephone Number : 518-587-3438
Fax Number : 518-587-3593
Provider Business Practice Location Address
First Line : 19 WEST AVE
Second Line : SUITE101
City : SARATOGA SPRINGS
State : NY
Zip : 12866-6049
Country : US
Telephone Number : 518-587-3438
Fax Number : 518-587-3593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/08/2007

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Directions to “ ANGELA GRACE CONDY MD” Practice Location

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