Most Relevant Information
Provider Data
| NPI Number: | 1003547233 |
| Provider Name: | TRICIA INDALL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2022 |
| Last Updated: | 06/20/2022 |
Provider Practice Location
624 MCCLELLAN ST STE 101
SCHENECTADY
NY
123041020
Practice Location Phone/Fax
| Phone: | 5183822260 |
| Fax: |
Provider Mailing Location
600 MCCLELLAN ST
SCHENECTADY
NY
123041009
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |