Provider Demographics
NPI:1366557720
Name:CONDY, ANGELA GRACE (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:GRACE
Last Name:CONDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:19 WEST AVE
Mailing Address - Street 2:SUITE101
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6049
Mailing Address - Country:US
Mailing Address - Phone:518-587-3438
Mailing Address - Fax:518-587-3593
Practice Address - Street 1:19 WEST AVE
Practice Address - Street 2:SUITE101
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6049
Practice Address - Country:US
Practice Address - Phone:518-587-3438
Practice Address - Fax:518-587-3593
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY171626207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine