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MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC NPI 1184634297


NPI Information

NPI: 1184634297
Provider Name: MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 33D0162494

Address:
700 MCCLELLAN ST
SUITE 101
SCHENECTADY, NY
ZIP 12304
Phone: (518) 374-9153
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MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC is an obstetrics gynecology in Schenectady, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC NPI is 1184634297. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 MCCLELLAN ST
SUITE 101
SCHENECTADY, NY
ZIP 12304-019
Phone: (518) 374-9153
Fax: (518) 379-5195

The provider's authorized official is Susan Marola .
The authorized official title is PRACTICE MANAGERManager and has the following contact phone number (518) 374-9153.

The CLIA number assigned to this NPI record is 33D0162494 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/9/2006 and was last updated on 2/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102116829MEDICAIDNEW YORK
2CJ6592MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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