Maryla Warszawa-Ambros
Adolescent Medicine
10 Century Hill Dr
Latham
, New York 12110-2162
Maryla Warszawa-Ambros
Adolescent Medicine
10 Century Hill Dr
Latham
, New York 12110-2162
(518) 785-5708
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Maryla Warszawa-Ambros
- 10 Century Hill Dr
- Latham, NY
- Zip : 12110-2162
- Fax : (518) 785-5708
- Phone : (518) 783-5563
Second Address
- Maryla Warszawa-Ambros
- 10 Century Hill Dr
- Latham, NY
- Zip : 12110-2162
- Fax : (518) 785-5708
- Phone : (518) 783-5563
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Is Maryla Warszawa-Ambros a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 185640-1 | NY |
National Provider Identifier
| NPI | 1144335324 |
|---|---|
| Provider Name | Maryla Warszawa-Ambros |
| First Address | Latham, NY 12110-2162 |
| Second Address | Latham, NY 12110-2162 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000401574001 | BLUE SHIELD OF NENY (01) | NY |
| 01260746 | (05) | NY |
| 1002139 | CDPHP (01) | NY |
| 26210 | MVP (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.