Condry, James D
Condry, James D is an individual health care provider with primary practice located at 458 Maple Ave , Saratoga Springs NY 12866-5532. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Condry, James D can be contacted via phone (518) 793-9424.Contact Information
Primary practice address
458 Maple Ave
Saratoga Springs NY 12866-5532
Phone: (518) 793-9424
Fax: (518) 793-9441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 0482431 | New York |
Other Service Providers / Specialist | 174400000X | 2144721 | New York |
Profile Details
NPI number | 1174547152 |
---|---|
LBN Legal business name | Condry, James D |
Credentials | D.D.S, M.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
Last updated | Mar 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174547152 | NPPES |
New York | MEDICAID | 02856504 | |
New York | MEDICAID | 02856499 |
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