Provider Demographics
NPI:1588322838
Name:PERCY, MADELYN
Entity type:Individual
Prefix:
First Name:MADELYN
Middle Name:
Last Name:PERCY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1267 THE PLZ
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2608
Mailing Address - Country:US
Mailing Address - Phone:518-360-9110
Mailing Address - Fax:
Practice Address - Street 1:170 ONTARIO ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-2321
Practice Address - Country:US
Practice Address - Phone:518-729-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist